| NPI | 1619963832 |
|---|---|
| Doing Business As | LILLIE BENNETT NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN G MOORE CFO 704-694-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC H0082) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-09-13 |