NPI | 1043434806 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MORELAND Chro 765-423-5531 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2007-04-12 |
Last Update Date | 2023-03-20 |