| NPI | 1518167626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES ADAMS Administrator 919-779-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 7802754) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |