| NPI | 1043347800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA P TILLMAN Chief Operating Officer 336-593-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC HO165) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-02-18 |