| NPI | 1982799029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENENA JUSTINE PEGG Business Office Manager 910-947-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-063-011) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |