| NPI | 1619208071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY NEWCOMB Licensee 919-222-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 096 033) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |