| NPI | 1669551990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HOLLOWAY Business Office 919-220-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl-032-018) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |