| NPI | 1902766082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGERS BYARUGABA Caregiver 564-669-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |