NPI | 1992790810 |
---|---|
Entity Type | Organization |
Authorized Contact | MILES E STANLEH Administrator 336-643-6301 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC NH0226) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0226) |
314000000X Skilled Nursing Facility (Licence: NC NH0226) | |
Enumeration Date | 2005-09-16 |
Last Update Date | 2020-08-22 |