| NPI | 1558643551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY T. JACOBS Member 910-425-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-043-026) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |