| NPI | 1316705528 |
|---|---|
| Doing Business As | ANDERSONVILLE SUPPORTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | TIM HEINRICH Chief Financial Officer 773-975-6806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |