| NPI | 1629420864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFREKA LYNCH CEO 443-408-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251C00000X |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |