| NPI | 1609094846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD HODGES Administrator 910-892-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-043-009) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-07-25 |