| NPI | 1346062353 |
|---|---|
| Doing Business As | GRAND VICTORIAN OF GREENWOOD |
| Entity Type | Organization |
| Authorized Contact | GREG ECHOLS Co President Of Its Management Agen 779-216-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |