| NPI | 1972441509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-05-21 |