| NPI | 1033377247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 197606285) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: CA 197606285) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197606285) | |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-05-26 |