| NPI | 1083730055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHIE CROCKER Owner 704-739-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 023-010) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-16 |