NPI | 1194095224 |
---|---|
Former Legal Business Name | HOUSE OF LOVE, I |
Entity Type | Organization |
Authorized Contact | AGNES REGINA DAVIS Owner And Manager 202-422-7733 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MD 16AL548) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 16AL548) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |