| NPI | 1861843195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA MARIE EASON Owner 704-886-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9969H) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |