| NPI | 1629416979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY B JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251S00000X |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-12 |