| NPI | 1356470173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CROCKER Manager 704-739-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL 023-031) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |