| NPI | 1891764551 |
|---|---|
| Doing Business As | SOUTH VILLAGE |
| Entity Type | Organization |
| Authorized Contact | CAROL PRATER Vice President Of Operations 336-633-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0122) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |