| NPI | 1215311238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL8867) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL9060) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |