NPI | 1962870212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 253J00000X Foster Care Agency |
Enumeration Date | 2015-09-03 |
Last Update Date | 2015-09-03 |