| NPI | 1457477549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J HILL Administrator 252-268-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-054-003) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |