| NPI | 1447687660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE NORTHINGTON Exec. Director 800-749-5149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2025-02-27 |