| NPI | 1487668216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A NEWMAN Administrator 336-886-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0236) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC NH0236) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-11-15 |