| NPI | 1144405804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE BOICE CFO 252-523-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC NH0552) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0552) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2022-08-12 |