| NPI | 1497080279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SURRATT Owner/Administrator 704-866-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-036-028) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |