| NPI | 1932414083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS Contract Administrator 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2015-11-20 |