| NPI | 1477381960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKWIASDI REVELS Proprietor 704-682-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |