| NPI | 1164540225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE THURMAN MOORE JR. President//Administrator 336-584-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL001009) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-08-03 |