| NPI | 1083919591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HEMRIC Manager/Member 336-397-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: NC HAL-034-091) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |