| NPI | 1619077781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KETCHAM Managing Partner 336-506-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL 001 023) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-05-31 |