| NPI | 1740488014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGARET W COUSIN Executive Director 804-427-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA CLO-06-1103628) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-12-11 |