| NPI | 1568053601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALEISHA RICHELLE HARRISON-DEANS Owner/Executive Chief Administrator 919-332-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-07-27 |