| NPI | 1013069855 |
|---|---|
| Doing Business As | FOREVER YOUNG RETREAT |
| Entity Type | Organization |
| Authorized Contact | JEANNE CULP MOORE Owner Administrator 704-422-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-084-002) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-06-17 |