| NPI | 1063465516 |
|---|---|
| Doing Business As | GRAND LODGE AT THE PRESERVE |
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRISON President/CEO 515-288-5805 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF286) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-05-04 |