| NPI | 1376755132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK N FISHER Administrator 910-582-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-077-006) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |