| NPI | 1497874002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELL HERNANDEZ President 704-480-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 023-015) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-08-21 |