| NPI | 1558038174 |
|---|---|
| Doing Business As | WALDEN POND CARE HOME |
| Entity Type | Organization |
| Authorized Contact | BERNICE R HOSCH Administrator/Operator 980-295-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-24 |