| NPI | 1023244472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRIC PETWAY Administrator 252-446-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL03301) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-06-03 |