| NPI | 1154194223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN BETHEA CEO 844-473-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |