| NPI | 1235357484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GREER Owner 1336-877-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 005 007) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |