| NPI | 1528353133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAUX HOLLINGSWORTH Owner 910-884-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 047-139) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |