| NPI | 1003012220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN SISK Owner 704-833-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-036-021) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |