| NPI | 1396740635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE S HERRIN-HUNEYCUTT Administrator 704-982-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0464) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-02-13 |