| NPI | 1932831872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASHU PATEL Owner 269-718-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-12-01 |