NPI | 1215911961 |
---|---|
Doing Business As | AUTUMN RIDGE AT NORTH OAKS |
Entity Type | Organization |
Authorized Contact | ALLISON D MERCURIS PENDROY Senior Vice President 515-875-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 03-026) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 03AL0260) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2019-08-28 |