| NPI | 1659710416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA C WATERS Executive Director 252-446-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC hal064008) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |