| NPI | 1124452883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LUPULESCU Administrator 965-961-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12110) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |