| NPI | 1982030086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA RAE KULYNYCH Administrator/Owner 540-625-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA HCO-14998) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |