| NPI | 1417944752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E KNEELAND Nursing Home Administrator 704-788-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0027) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC NH0027) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-10-25 |