| NPI | 1205200748 |
|---|---|
| Doing Business As | EAGLE RIDGE INDEPENDENT & ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROBERTS CFO 641-456-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0354) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |