| NPI | 1447993779 |
|---|---|
| Doing Business As | MANGROVE BAY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEVY Agent For Owner 312-673-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |