| NPI | 1326196528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY FRANKLIN MOORE Owner 704-283-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL090001) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |