| NPI | 1043940414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUA REED Owner 804-972-1430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |