| NPI | 1477683308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY ALFORD Business Manager 704-392-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-060-231) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-060-908) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-060-468) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-060-166) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 251S00000X | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-060-167) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-060-118) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-060-514) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-060-350) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-09-13 |