| NPI | 1821411810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE GALLOWAY Administrator 336-264-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-094) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |