| NPI | 1245666544 |
|---|---|
| Doing Business As | INDEPENDENCE HALL |
| Entity Type | Organization |
| Authorized Contact | RALPH MARRINSON Owner 9544-566-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 4416) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |