| NPI | 1114063559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL MCCLURE ROBINSON Pcs Coordinator 704-793-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-013-000) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |