| NPI | 1043630924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE WYNNE-FINLEY Gove RN Ing Body 753-528-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |