| NPI | 1740043223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETA GEDION GIRSHA CEO/Owner 574-302-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |