| NPI | 1619401700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY CAPLE CEO 804-898-0420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |