| NPI | 1598221475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYELA L HAYED CEO 501-655-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |