| NPI | 1649223082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMIR REGINA MANN President And Owner 386-951-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 229510) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |