| NPI | 1396972782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN OKORO Administrator 919-880-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC3818) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL035025) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL035026) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2013-11-06 |