| NPI | 1013495175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEILER PELEGRIN Owner 615-509-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-11-02 |