| NPI | 1962247064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILAYE KASSAHUN ABATE CEO 804-380-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |