| NPI | 1316527443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI 1-514986) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: HI 1-514986) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-01-27 |