| NPI | 1043507858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BALDWIN Administrator 910-647-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 024012) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |