| NPI | 1982673034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H. LONG Administrator/Site Executive Office 910-259-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC H0115) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-09-03 |