| NPI | 1396976775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE MCKOY Director 919-451-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-032-474) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |