| NPI | 1518474543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWAKALIT OLUSESI Director 919-749-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-236) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |