| NPI | 1043656366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN CHAVIS President 910-734-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 24580) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |