| NPI | 1780882019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY HATLEY Owner 919-641-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-032-348) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-09 |