| NPI | 1568735744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IWONNA MARIA MATTHEWS Dor 919-851-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 3368) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |