| NPI | 1578746699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA A VINT Administrator 704-982-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0140) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-08-07 |