| NPI | 1871613299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALEACCA RESHAUN VAUGHAN President 252-398-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC HC2949) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |