| NPI | 1235563263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLI O REYNOLDS Owner 754-246-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10499) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |