| NPI | 1013648468 |
|---|---|
| Doing Business As | CROWN ASSISTED LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | JURIS BERGS Administrator 386-333-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |