A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Care Home |
311ZA0620X | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI Number | 1588357644 |
| LBN Legal business name | BW DALEA ENTERPRISES, LLC |
| Authorized official | GAGE BOARDINGHAM - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/02/2023 |
| Last updated | 02/13/2024 - About 2 years ago |
| Identifiers | n/a |
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