| NPI | 1750683900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BYRD WESTERN Administrator, Vice President 919-673-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-165) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2010-11-20 |