| NPI | 1144085614 |
|---|---|
| Doing Business As | GRAND EMERALD PLACE |
| Entity Type | Organization |
| Authorized Contact | SHERRI BERGHOFF CEO 260-740-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |