| NPI | 1275384083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKEBA C WHITE CHANAY CEO 769-572-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |