| NPI | 1417153883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVIETTE LEATHERS Ownwer 919-361-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL-032-082) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |