| NPI | 1336998723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALVEN GOREAL Owner/Licensee/Administrator 251-234-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |