| NPI | 1154305027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMAN LAMBIRO Director 757-686-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ELO2005-574) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |