| NPI | 1477723047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY RENEE DODSON Administrator 336-264-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-001-126) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |