| NPI | 1265219968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ADGERSON Owner/Delegating Nurse 202-615-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |