| NPI | 1104588417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JANE PADLEY Occupational Therapy Assistant 910-431-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |