| NPI | 1558481119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL LAVALLE BLACKWELL Director 919-544-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-032-071) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |