| NPI | 1043036817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADUABUCHI IKECHUKWU ONYEGBULE Owner 984-269-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |