NPI | 1255327508 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES JOHN RUSGIS Owner 479-636-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 552) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2020-08-22 |