| NPI | 1598421984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE CASSELLA Administrator 919-621-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |