| NPI | 1811030497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE HAVERI Administrator 919-580-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC fcl040005) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |