| NPI | 1629301130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAL ALAN FAKHOURY Speech Language Pathologist 919-306-1847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |