| NPI | 1811327596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICAHRD EDWARDS VP 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-21 |