NPI | 1598004749 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID DEAN WILSON Managing Partner 336-495-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-076-034) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2013-06-13 |