| NPI | 1114246998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY T, JACOBS T. JACOBS Administrator 910-425-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-026-058) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |