NPI | 1053437590 |
---|---|
Doing Business As | POTTER HOUSE |
Entity Type | Organization |
Authorized Contact | WALTER A LEVONOWICH Vice President And Controller 414-908-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 000505) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |