| NPI | 1639950504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRISH SHYRON ELEY Owner 757-235-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-08-06 |