| NPI | 1033693395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA ARRINGTON-GANDY Administrator 757-279-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |