| NPI | 1851597165 |
|---|---|
| Doing Business As | POOLE ROAD FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | DENISE LUCAS Administrator 919-212-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-080) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2008-08-06 |