NPI | 1255528543 |
---|---|
Doing Business As | MCCULLOUGH HOUSE |
Entity Type | Organization |
Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-257-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: PA 301910) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |