| NPI | 1285031609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA THOMAS Owner 757-715-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA 0101-030884) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |