| NPI | 1376674606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MICHAEL STRADER Administrator 336-292-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-041-008) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |