{"npi":"1700906070","type":"NPI-2","status":"active","name":{"display":"Glenn Krystle Manor","other":[],"organization_name":"GLENN KRYSTLE MANOR","authorised_official":"Cynthia Garrison"},"specialty":{"primary_taxonomy":"311ZA0620X","primary_taxonomy_description":"Adult Care Home Facility","slug":"adult-care-home-facility","schema_org_specialty":null,"all":[{"code":"311ZA0620X","description":"Adult Care Home Facility","primary":true,"state":"NC","license":"FCL-026-049"}]},"addresses":[{"purpose":"LOCATION","street_1":"220 DAVIS ST","city":"FAYETTEVILLE","state":"NC","postal_code":"283055346","country_code":"US","phone":"9104868854"},{"purpose":"MAILING","street_1":"1887 SPIRALWOOD DR","city":"FAYETTEVILLE","state":"NC","postal_code":"283040499","country_code":"US","phone":"9105274673"}],"license":{"state":"NC","number":"FCL-026-049"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7805650","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-30","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}