| NPI | 1679605901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH WYLENE BIGLER Manager 910-521-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-092-118) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |