| NPI | 1538280029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS STUART Administrator 919-854-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-092-562) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |