| NPI | 1154655074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L GREER Owner 336-877-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 005 011) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |