| NPI | 1992106876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE C ACHU Administrator 919-931-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl-091-017) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |