NPI | 1518103381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2008-12-30 |
Last Update Date | 2018-10-03 |