| NPI | 1548995962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE JEAN DORVAL Owner 772-940-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-09-07 |