| NPI | 1992907331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L BRIDGERS Administrator 910-645-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL009018) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |