| NPI | 1316443401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906896) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL 6906896) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-10-04 |