| NPI | 1043314602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN TILLEY Billing Manager 336-888-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0155) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-07-11 |