| NPI | 1861863805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVALORIE MATTHEWS President 919-600-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 1475469) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |