| NPI | 1619431822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUCHARIA OBIMMA Administrator 919-771-7157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-04-23 |