NPI | 1982737326 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA BONDURANT VERNON Administrator 336-786-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |