| NPI | 1912575416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 306005743) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: CA 306005743) |
| 315D00000X Hospice, Inpatient (Licence: CA 306005743) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |