NPI | 1053346619 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARICE LEE WRIGHT Vice President 641-673-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0134) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-08-22 |