| NPI | 1023262698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA REYES MAMARIL President/Administrator 757-546-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ER02008-096) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2009-02-23 |