NPI | 1053428961 |
---|---|
Doing Business As | KOZY KORNER |
Entity Type | Organization |
Authorized Contact | MARTHA BOONE BLUMENAUER Owner/Administrator 386-677-0059 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7714) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2009-01-06 |