| NPI | 1275389538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY FULTON CEO 267-972-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |