| NPI | 1063083749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W. FLEMING Controller Of Management Company 971-227-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |