| NPI | 1457135261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYOSHA MOORE Owner 262-880-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |