| NPI | 1932470838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS Vice President 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |