| NPI | 1265585699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY T. JACOBS Administrator 910-425-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAl-026-004) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |