| NPI | 1932481249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA K. PETERSON Member Manager 704-502-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |