| NPI | 1851673016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS Contract Administrator 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC MHL-098-167) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2015-12-08 |