| NPI | 1790186526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR A. KELLER Owner/Administrator 919-774-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-053-004) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |