| NPI | 1396989323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE LILLIAN WILSON-HAMMOND Otr/L 757-463-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA 0119004820) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |