| NPI | 1982120994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OKEMBA OKELLO CEO 901-606-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |