| NPI | 1164620902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DEAN BRALEY President 304-546-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WV 507358) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |