| NPI | 1104946433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENORA D. GARDNER Administrator 252-758-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-074023) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |