| NPI | 1417492745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA GRIGGS Adminstrator 336-432-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL079095) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC FCL079056) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |