| NPI | 1518135193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HERRIN-HUNEYCUTT Administrator 704-982-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0464) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |