| NPI | 1588779052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E UNDERWOOD Owner 704-788-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-013-006) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |