| NPI | 1932520855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESIA BRANSON Administrator 276-274-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-01-07 |