| NPI | 1922153329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ALAN MOORE Coowner Coadministrator 828-453-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-081-016) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |