NPI | 1205194701 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JUNIOUS ELLIOTTE Owner/Administrator 704-545-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL060093) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2012-05-03 |