NPI | 1194320655 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE ASCURA BROWN Managing Partner 775-954-6146 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2020-12-02 |
Last Update Date | 2024-04-06 |