| NPI | 1174524458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN WEBSTER CEO 336-458-9112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2026-08-13 |