| NPI | 1508663923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE CROSS-MACK Owner 757-967-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |