NPI | 1750627808 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMEKIA MATTHEWS Administrator 334-391-5328 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AL 8444) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |