| NPI | 1376065110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HINSON WEAVER Owner/Administrator 919-738-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCH-096-048) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-15 |