| NPI | 1619439825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILSON Owner 870-295-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 177F00000X Lodging | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |