| NPI | 1821308800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAYE HAIRSTON Administrator 336-347-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-031) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-12 |