| NPI | 1407976509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY DODSON Administrator 336-264-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL001094) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |