| NPI | 1306979513 |
|---|---|
| Doing Business As | PORT CHARLES ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DENNIS R. SANVIG President 641-257-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0083) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |