| NPI | 1841576303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A ALENDA Program Administrator 202-629-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2022-07-21 |