| NPI | 1689628141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE CALCUTT CFO 910-642-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0510) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |