| NPI | 1104375823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W BOYLES Vice President 336-724-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0378) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |