| NPI | 1649437229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LYNNE DICKSON Owner 772-807-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10818) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |