NPI | 1730422940 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA JACKSON Administrator 501-268-4169 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 076) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2013-04-05 |