| NPI | 1205727708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAALIQ RASHEED PAYNE Owner/Ex. Director 757-751-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |