| NPI | 1306199617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LAVERNE GWYNN Administrator 336-349-3610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-091) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |