NPI | 1841970969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH009172) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH012240) |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-07-24 |