| NPI | 1497946628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R HILDEBRANDT Managing Member/Owner 641-472-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0259) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |