| NPI | 1669862074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTA OKEKE Administrator 919-395-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-01-24 |