| NPI | 1578379640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY KEY Part Owner 919-753-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |