| NPI | 1649725144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONAH JOSEPHINE DOLO Owner/Administrator 704-236-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 079200312) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |