| NPI | 1295361087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL GARRIS Owner 757-724-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |