| NPI | 1831641604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE I. OSUORJI Administrator 919-641-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-032-612) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |