| NPI | 1295047033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE C NDIKOM Administrator 919-596-6811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-101) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |