| NPI | 1861523896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY HENNESSEE Executive Director 336-775-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL 029 007) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |