| NPI | 1710269121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY S EVANS Managing Member 910-648-6887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-092-170) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |