NPI | 1871838466 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA RICE HUDSON Owner/Director 731-548-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2012-12-07 |
Last Update Date | 2012-12-07 |