| NPI | 1487112025 |
|---|---|
| Doing Business As | ASPEN GROVE ALTERNATIVE SENOIR LIVING |
| Entity Type | Organization |
| Authorized Contact | BRENDA SUE GARGANO Owner 218-263-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-03-02 |