| NPI | 1275975187 |
|---|---|
| Doing Business As | JIM MANOR |
| Entity Type | Organization |
| Authorized Contact | MERRIL MCMILLIAN President 866-200-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |