| NPI | 1376964403 |
|---|---|
| Doing Business As | BELLATAGE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CULLEN S GIBSON Vice President/Member 765-664-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11898) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |