| NPI | 1457703126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G MELANCON Administrator 980-295-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-023-048) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |