NPI | 1942364591 |
---|---|
Entity Type | Organization |
Authorized Contact | RON BURRELL CEO 252-525-1995 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL096021) |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: NC HAL096021) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |