| NPI | 1891859203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMEE D WEIDERT Finance Director 704-861-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-036-046) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-036-016) |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-036-011) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-036-022) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-036-069) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2019-04-08 |