| NPI | 1891655031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE RENEAU POTTER Owner/Administrator 757-323-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |