| NPI | 1104510502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA HILL Owner 502-416-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |