| NPI | 1356490098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI WELNICKE Business Office Mgr. 704-545-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-060-068) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |