| NPI | 1073817680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA NORMAN Administrator 704-751-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FLC-023-040) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |