NPI | 1699931451 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY SUE EULBERG RN/Owner 563-880-1580 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA SO279) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2008-07-31 |