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 |