| NPI | 1801983168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR HAYWOOD Administrator 910-457-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC H0150) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |