| NPI | 1740249382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CLAPP CAMPBELL Administrator 336-625-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0020) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2012-12-05 |