| NPI | 1033514658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE PYLE Executive Director 540-981-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA ADC1103671) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2023-06-09 |