NPI | 1750663985 |
---|---|
Entity Type | Organization |
Authorized Contact | TEDDY HAYMON Executive Administrator 256-638-8479 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2011-09-14 |
Last Update Date | 2011-09-14 |