| NPI | 1891837324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY M FREELAND Administrator 336-226-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL00166) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-01-29 |