| NPI | 1952909616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANE ANDERSON CEO 346-239-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |