| NPI | 1922763416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANTOINETTE ALEXIS CEO/Administrator 386-338-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2022-02-07 |