| NPI | 1528913159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANDERSON Corporate Business Officer 385-498-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-03-03 |