| NPI | 1033540984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURNA M HANSON Administrator / Owner 386-237-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9901) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |