| NPI | 1043241748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN DAVIS Administrator 252-492-0066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-091-003) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-06-19 |