| NPI | 1487087334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANE BOOKER HICKS Owner 804-241-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VA 2679) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VA 1401050528) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |