| NPI | 1407031578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LEVETTE HAMPTON Administrator 336-589-0239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-062) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC FCL-079-063) |
| 310400000X Assisted Living Facility (Licence: NC FCL-079-064) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |