| NPI | 1518085935 |
|---|---|
| Doing Business As | SOUTH HAVEN LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY GAUSE Administrator 704-830-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-036-005) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |