NPI | 1932383312 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DEFELICE Administrator 704-263-1986 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0386) |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: NC NH0386) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2009-11-19 |