| NPI | 1700022241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS A HELMS Owner 919-524-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-136) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |