| NPI | 1417354556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA WHITAKER Administrator 919-381-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |