| NPI | 1821145863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE MCKINNEY Bookkeeper 336-342-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL079002) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-11-13 |