| NPI | 1538285317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN CRANDELL Administrator 919-790-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-084) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-11 |