| NPI | 1881819050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRENETTA M STEVENSON Administrator 919-496-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL035-014) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2008-07-16 |