NPI | 1669899746 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD WOOD Chief Operating Officer 317-280-8455 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 2096R) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |