| NPI | 1962156034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBERECHUKWU PATRICIA IRECHUKWU Admnistrator/Owner 919-986-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-22 |