| NPI | 1932225588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE ROLAND Administrator 919-821-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: NC FCL092-030) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |