| NPI | 1619427697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD O THOMPSON CEO 704-246-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0988) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-06-19 |