| NPI | 1407063928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOLIN JOELE MONTGOMERY Residence Director 812-275-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 06-004011-1) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |