| NPI | 1609193770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A SCOTT Sole Proprietor 219-977-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |