| NPI | 1902083801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD KEITH SHERARD Owner 252-752-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-074-035) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |