| NPI | 1194190595 |
|---|---|
| Doing Business As | EDENCREST AT GREEN MEADOWS |
| Entity Type | Organization |
| Authorized Contact | PAT HANSON Manager 515-207-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |