| NPI | 1992998504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA BROOKE PATTERSON HODGE Executive Director 980-406-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0573) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-10-18 |