| NPI | 1265561187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE CAROLINE PIERCE Managing Partner 336-643-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-018-018) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC HAL-018-018) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-06-25 |