| NPI | 1023691771 |
|---|---|
| Doing Business As | MONTICELLO WEST |
| Entity Type | Organization |
| Authorized Contact | DIANE BRIDGEWATER Executive VP And Secretary 515-875-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |