| NPI | 1649405721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JACKSON WHEELER Administrator 919-894-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-051-030) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |