| NPI | 1992827810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAYMOND WOODSON Administrator 336-621-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FLC041035) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-08-01 |