| NPI | 1619496213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE OBURU RN/Administrator 919-673-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |