| NPI | 1710358148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRYFENE SCOTT Administrator 804-412-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ALF1104506) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |