| NPI | 1992793962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE PRIDGEN Business Office Mgr 910-270-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0300) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC NH0300) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NC NH0300) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-12-05 |