| NPI | 1801078803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS STANCIL Owner 919-622-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |