| NPI | 1316199094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE CASSELLA Administrator 919-621-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-147) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2009-03-24 |