| NPI | 1649390287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL S OLIVER Owner 336-598-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-073-003) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-11-21 |