| NPI | 1972633550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE SHYLLON Administrator 919-639-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL043009) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |