| NPI | 1316133374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRINFORD LEAK Owner 919-774-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC fcl-053-019) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |