| NPI | 1437501863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW K MATRONE CEO 919-410-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 5006048) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 500048) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-09-20 |