| NPI | 1073099073 |
|---|---|
| Doing Business As | CEDAR GROVE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | GREG ECHOLS Co President Of Management Agent 779-216-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2024-09-18 |