| NPI | 1881829091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE WELLMON Adminstrator 704-300-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-081-042) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |