| NPI | 1114896099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA HOARD Owner 863-308-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |