| NPI | 1497926133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J LEWIS Administrator 336-584-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-001-005) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |