| NPI | 1487213336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE LANCASTER-BUSSEY CEO 804-999-1719 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |