| NPI | 1346394012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON President 919-734-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-04-05 |