| NPI | 1396590634 |
|---|---|
| Doing Business As | 113 N SENIOR CARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM OTTO WOODRING Owner 757-567-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |