| NPI | 1174157861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BROWN Program Director/Owner 757-401-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |