| NPI | 1235813049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 148138) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 148138) |
| 251G00000X Hospice Care, Community Based (Licence: FL 148138) | |
| 314000000X Skilled Nursing Facility (Licence: FL 148138) | |
| 261QP2400X Clinic/Center Prison Health (Licence: FL 148138) | |
| 282E00000X Long Term Care Hospital (Licence: FL 148138) | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: FL 148138) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: FL 148138) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 148138) | |
| 376K00000X Nurse's Aide (Licence: FL 148138) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |