| NPI | 1518713684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DEAN Owner 256-652-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 305R00000X Preferred Provider Organization | |
| 310400000X Assisted Living Facility | |
| 315D00000X Hospice, Inpatient | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-05-03 |