| NPI | 1144680786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S VINES Administration/Owner 252-531-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-074-041) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |