| NPI | 1558493007 |
|---|---|
| Doing Business As | STAGE COACH MANOR |
| Entity Type | Organization |
| Authorized Contact | BUDDY LOCKAMY President 910-814-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL043020) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |