NPI | 1699706606 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY M MOSS Administrator 252-257-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0360) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC NH0360) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-12-21 |