| NPI | 1578363941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HILL Owner 980-433-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-03-15 |