| NPI | 1336142470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TED SMITH Administrator 919-286-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0038) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC NH0038) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-01-23 |