NPI | 1710125620 |
---|---|
Doing Business As | ALEXANDRIA PLACE |
Entity Type | Organization |
Authorized Contact | KIMBERLY FOWLER Administrator 704-853-8175 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC NH0547) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC NH0547) |
Enumeration Date | 2009-01-30 |
Last Update Date | 2013-07-03 |