| NPI | 1346931060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RALINE PYLE Managerial Official/Lpn 218-457-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-01-08 |