| NPI | 1316178940 |
|---|---|
| Other Name | OPERATED BY: T R ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | BETTY JEAN BEUTLER Administrator 276-794-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA ALF1104133) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |