| NPI | 1720703739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTNA RADU Owner 224-489-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |