| NPI | 1437270030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY LEE TRUTENKO Owner 910-488-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC hal 026-050) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |