| NPI | 1659418846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HOLLAMON Administrator 919-934-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-051-019) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |