| NPI | 1114420148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HAMLETT Owner/Administrator 434-579-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |