| NPI | 1326263864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY YVONNE KNOX Administrator 704-475-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: NC FCL090026) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-08-09 |