| NPI | 1134866353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAWA SMITH Owner 508-615-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |