| NPI | 1376682492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY S CRISP Supervisor In Charge 336-570-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL001117) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-01-29 |