| NPI | 1174275671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LANHAM Owner/CEO 704-309-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-02-09 |