| NPI | 1720587165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANGELA TEASLEY CEO 334-652-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 107208825) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-02-11 |