| NPI | 1639355514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE BARNES DUDLEY Administrator 252-286-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-054-061) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |