| NPI | 1306105945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS LAMONT MOORE Secretary 501-392-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |