| NPI | 1538405626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA LENORE THURSTON-GRIGGS Manager 336-432-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-056) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |