| NPI | 1922565514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEKA TERIE MACON-SMITH Owner 901-600-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |