NPI | 1972587376 |
---|---|
Doing Business As | CROASDAILE VILLAGE |
Entity Type | Organization |
Authorized Contact | JONATHAN P ERICKSON Assistant Secretary 919-384-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0587) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2017-03-06 |