| NPI | 1053451179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEE RUMBLEY Administrator Executive Director 336-629-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC REGISTRATION) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: NC HAL-076-003) |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC HAL-076-003) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |