| NPI | 1316082274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN M CLYMORE Executive Director 919-834-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL068016) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL092014) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |