| NPI | 1811329337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA MICHELL JACKSON Owner 336-693-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-001-150) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |