| NPI | 1962479832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK ELLEDGE Vice President 336-679-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0265) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-09-24 |