| NPI | 1457556458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CHAD STEWART Administrator 910-525-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAl082012) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |