| NPI | 1013422336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAOUL EKOUE KOUEVI Administrator 866-584-7333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD HCSA8000016) |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care Respite Care Camp | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2024-02-16 |