| NPI | 1225537657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA W PACKETT Corporate Specialist 804-333-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ALF361) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |