| NPI | 1497283899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH B CAMPBELL Member 910-332-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |