| NPI | 1639575723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS AJAYI Administrator 919-225-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-137) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |