| NPI | 1093222515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNPAUL LOUIS GOODE Operations Liaison 804-839-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: 12972) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |