| NPI | 1194935734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCCORMICK General Partner 336-578-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-001-008) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |