| NPI | 1356546113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEY Y JEGBADAI Administrator 919-790-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |