| NPI | 1366299661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GICHIGO Adult Care Home Administrator 334-492-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |