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 |