| NPI | 1962535096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M BOONE Owner Administrator 910-893-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL043010) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |