| NPI | 1568785194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BASS Administrator 919-285-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FLC-043023) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |