| NPI | 1407210644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CLARKE Owner 910-417-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-011) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-04-09 |