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 | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Intermediate Care Facility, Mentally Retarded |
315P00000X |
| NPI Number | 1942001722 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 03/19/2025 |
| Last updated | 03/19/2025 - More than a year ago |
| Identifiers | n/a |
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