| NPI | 1437663952 |
|---|---|
| Doing Business As | TANGERINE COVE |
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD PETRAS Co Owner/COO 260-797-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |