| NPI | 1942452446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL LAVALLE BLACKWELL President 919-544-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-032-071) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |