| NPI | 1902231137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY EVANS Administrator 919-457-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL092578) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |