| NPI | 1093074494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELIZABETH LOCKHART Administrator 4024-746-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF339) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |