| NPI | 1801211701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH DARLENE BROWN Cota 304-237-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WV C1733) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |