| NPI | 1700591302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ELLIS CEO 346-282-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |