| NPI | 1730800947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MICHELLE SANDERS Organizing Member 919-703-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |