NPI | 1356484877 |
---|---|
Doing Business As | EDEN SPRING LIVING CENTER |
Entity Type | Organization |
Authorized Contact | JACKSON ODONDI Administrator 919-949-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-032-073) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2008-07-02 |