| NPI | 1588192280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE D PETERSON Administrator 336-687-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-034-102) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |