| NPI | 1952668295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DOMINIQUE COOPER Respiratory Therapist/Owner 901-601-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |