| NPI | 1740645456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN CHING-LONG Office Manager 479-750-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 102) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |