| NPI | 1841375102 |
|---|---|
| Other Name | WESTSIDE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | HAROLD E JONES Senior Vice President 919-256-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL078049) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-26 |