| NPI | 1174567531 |
|---|---|
| Doing Business As | KANNON CREEK ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | KAREN G MCDANIEL President 252-523-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL080003) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-04-07 |