| NPI | 1518655588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS PETERS Director Of Business Office And Wai 260-452-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-05-07 |