| NPI | 1871595033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX KERNODLE Administrator 336-578-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0364) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-11-15 |