| NPI | 1396299145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MAYO CFO 919-790-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL092226) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-11-18 |