NPI | 1952674384 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA BELL Administrator 870-403-6201 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 063) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-02-15 |