| NPI | 1801656756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY RICHARDSON Administrator 567-225-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |