| NPI | 1841341914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONDA C GLENN Office Manager 919-556-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC NH0525) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |