| NPI | 1356435564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE FILLER Owner 126-298-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-04-09 |