| NPI | 1639625940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANOVA S MITCHENER Licensed Assisted Living Administra 757-768-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA 1104458) |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |