| NPI | 1629406905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ELISE BAKER Adminnistrator 757-224-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ALF1104365) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |