| NPI | 1093863268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA C BERRIER Administrator 919-207-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-051-007) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |