NPI | 1366890865 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANINE K CHARTIER Owner 712-944-4893 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0356) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2016-05-25 |