| NPI | 1588410872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNILEE RICHARDSON Chief Financial Officer 919-371-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |