| NPI | 1124901269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE JOHNSON Owner 267-249-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-09-10 |