| NPI | 1538470315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA AKOETE Adminstrator 919-571-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl092151) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |