| NPI | 1679808240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA NESBITT Program Manager 704-532-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 4255) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |