| NPI | 1437338282 |
|---|---|
| Other Name | TOMLONSON ISL |
| Entity Type | Organization |
| Authorized Contact | HEATHER TOMLONSON Owner/Administrator 660-827-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2011-07-06 |