| NPI | 1669624953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TOTTEN WILSON Administrator 336-342-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-069) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |