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 |