| NPI | 1265060693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA OHIKU Co Owner 443-551-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |