| NPI | 1003205618 |
|---|---|
| Other Name | 65 ALIVE, LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD NICHOLLS Regional President 847-975-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 105480) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: TX 105481) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |