| NPI | 1396882387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT SHYLLON Administrator 919-639-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-043019) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |