| NPI | 1124229059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS BROTHERS Owner 678-497-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-077-008) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |