| NPI | 1922152214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI BASIL WATSON Administrator Owner 919-452-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL032084) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-09-06 |