| NPI | 1487352332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |