| NPI | 1841651353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARVELL Owner 704-258-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |