| NPI | 1548977010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN M HAASTRUP Director Of Operations 567-328-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |