| NPI | 1457693590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY COOPER Owner 704-434-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-023-002) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |