| NPI | 1649051665 |
|---|---|
| Doing Business As | MIRA AT MAUMELLE, LLC |
| Entity Type | Organization |
| Authorized Contact | CRAIG HANSON Partner/Manager 320-492-5483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |