| NPI | 1508982489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS O. ISIJOLA Owner 919-880-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-035-016) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-01-04 |