| NPI | 1831539824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME MICHELE BOURGEOIS Occupational Therapy Assistant 919-435-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 5022) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |