| NPI | 1245050517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPEOLUWA A ADEBAYO Director 202-714-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |