| NPI | 1255596979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY COOPER Administrator 704-551-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NC 0414) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC 0414) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC 0414) | |
| 314000000X Skilled Nursing Facility (Licence: NC 0414) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |