| NPI | 1851070718 |
|---|---|
| Former Legal Business Name | PURE SREENITY HOME |
| Entity Type | Organization |
| Authorized Contact | MONIQUE JONES Owner 765-437-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |