| NPI | 1508079880 |
|---|---|
| Doing Business As | MONTICELLO PARK RETIREMENT & ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | KELLEY D HAMILTON CEO Pres Of Manager 503-566-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WA 1473) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-10-04 |