| NPI | 1104800069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E GILLIAM President 919-467-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0454) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-07-08 |