| NPI | 1730215369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D PICKETT Secretary 919-682-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FC L-032-003) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |