| NPI | 1568664647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA J MORGAN Supervisor In Charge 910-289-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-031-012) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-08-09 |