| NPI | 1114698255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVON BRUCE Managing Member 412-401-7109 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |