| NPI | 1942613674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197608059) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197608060) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197608058) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |