| NPI | 1417759028 |
|---|---|
| Doing Business As | NORTHLAKE HOUSE |
| Entity Type | Organization |
| Authorized Contact | JENNILEE M RICHARDSON CFO 919-621-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |