| NPI | 1841390010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA R NIVENS Secretary 704-869-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0562) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |