| NPI | 1396632162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA GURAGAIN Owner 571-723-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2026-03-11 |