| NPI | 1992111587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINA O AKPOM Administrator 919-760-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL092895) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |