| NPI | 1063644748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN M RODERICK Owner 910-612-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-074-038) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |