NPI | 1124880323 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL OHANNON Mrs/Owner/CEO 856-212-2384 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 310400000X Assisted Living Facility |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
311Z00000X Custodial Care Facility | |
Enumeration Date | 2024-01-24 |
Last Update Date | 2024-01-24 |