| NPI | 1285780106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K GATABAKI Administrator 919-467-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC MHL-092-546) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-03-01 |