| NPI | 1598946873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN GULLEY Owner 919-269-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-054) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |