| NPI | 1356525067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY NWANKWO Administrator 919-872-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |