| NPI | 1629476650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRELL LINNETTE BAILY Owner 757-312-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |