| NPI | 1508201112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA KELLY RIPPY Owner/Opeator 910-527-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL011331) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC HAL045116) |
| 310400000X Assisted Living Facility (Licence: NC HAL045117) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |