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 |