| NPI | 1780425744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE SIMS Owner 424-233-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |