| NPI | 1386444834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| 177F00000X Lodging | |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |