| NPI | 1871875682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY P DORGAN Administrator 336-883-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL041010) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |