| NPI | 1538374343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CULLEN GRANT Speech Language Pathologist 919-848-7254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 3900) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |