| NPI | 1487474029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |