| NPI | 1568614469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J HOWARD President 704-841-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC NH0060) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC NH0060) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2013-07-03 |