| NPI | 1730211392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KIRBY Owner 919-669-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL092552) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-08-08 |