NPI | 1336293794 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LYNN SMITH VP Of Business Operations 919-778-1900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: NC MHL-065-040) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2017-12-15 |