| NPI | 1427114420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON DANELLA Administrator 910-647-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-009-001) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-009-001) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-01-02 |