NPI | 1790494136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-11-15 |
Last Update Date | 2022-11-17 |