| NPI | 1790980548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN HICKS-MASTER Owner/Authorized Official 870-243-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2019-11-06 |