| NPI | 1568651602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHELIA BENTON Owner 919-641-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-032-520) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC MHL-032-451) |
| 310400000X Assisted Living Facility (Licence: NC MHL-032-419) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2016-04-14 |