| NPI | 1972641298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA OVERCASH KINCAID Co Owner 704-938-2927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL013007) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |