| NPI | 1841617552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA T HACKETT Office Manager 336-998-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0519) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |