NPI | 1215066147 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY BEAM BEAM Administrator 704-435-4161 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0287) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |