| NPI | 1851825996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE SANTORO Director 704-873-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 16163) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |