| NPI | 1801245196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAR Y EL BAAGE Owner 540-498-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 201502219) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL ME119419) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: KS 0437797) | |
| 261QC1500X Clinic/Center, Community Health (Licence: GA 061063) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |