| NPI | 1992115406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE FAYE HUMMER-WHEELER Certified Occupational Therapist 910-964-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC 5760) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |