| NPI | 1427444124 |
|---|---|
| Doing Business As | GREEN ACRE LODGE OF HOLIDAY ISLAND |
| Entity Type | Organization |
| Authorized Contact | RAYMOND DENNINGTON MOSS Manager 479-530-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 105) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |