| NPI | 1346173838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER A ALADEOJEBI Owner 682-400-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |