| NPI | 1669929006 |
|---|---|
| Doing Business As | HOMESTEAD AT PILLSBURY MANOR |
| Entity Type | Organization |
| Authorized Contact | PAUL BOETHEL Principal 972-728-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT In Process) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |