| NPI | 1215196746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDRA RENEE JOHNSON Social Assistance/Personal Care 205-752-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AL 102375) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: AL 102375) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |