| NPI | 1417834607 |
|---|---|
| Doing Business As | OWNER |
| Entity Type | Organization |
| Authorized Contact | ALFONZO PASSMORE Owner 334-520-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |