| NPI | 1063806784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI ANNE PITMAN Occupational Therapist 704-435-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 100000000000009) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |