NPI | 1972866804 |
---|---|
Entity Type | Organization |
Authorized Contact | MATRESSE MCALLISTER Executive Director 910-918-1807 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 05186) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-06-15 |