NPI | 1679892236 |
---|---|
Doing Business As | MARLA VISTA GARDENS MEMORY CARE OF GREEN BAY, LLC |
Entity Type | Organization |
Authorized Contact | KATHERINE R TEGEN Manager 920-378-5839 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2010-05-21 |
Last Update Date | 2010-05-21 |