| NPI | 1932405115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORBRA T. GRAVES Administrator 336-222-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC fcl001014) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |