| NPI | 1184425092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MICHAEL VENTRESS CEO 424-634-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |