| NPI | 1407930936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C PIERCE Chief Deputy Secretary 984-204-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0616) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-08-22 |