| NPI | 1639440373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY GWYNN Administrator 336-327-6284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-088) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2023-09-14 |