| NPI | 1508125642 |
|---|---|
| Doing Business As | LIVING WELL FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THOMPSON Owner/Administrator 919-255-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-175) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |