NPI | 1366638025 |
---|---|
Doing Business As | TETON HOUSE |
Entity Type | Organization |
Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-250-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC577) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2007-10-01 |