| NPI | 1356735344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LAMBERT CEO 571-388-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA 15l06854) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |