| NPI | 1326166455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM W CROWDER Owner 910-428-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL062004) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |