| NPI | 1740249382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT HOLLOWELL Owner/Administrator 919-201-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0020) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-09-24 |