NPI | 1730934696 |
---|---|
Doing Business As | NA |
Entity Type | Organization |
Authorized Contact | MARYAN DUALLE Owner 161-481-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-04-23 |