| NPI | 1053456624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY H. MILLER Manager 336-852-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC Hal-041-003) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |