| NPI | 1679265482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CRANDALL TER BORG Executive Director 434-973-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |