| NPI | 1952748329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L POWELL Owner/Director 252-289-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC MHL098184) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2013-05-26 |