| NPI | 1740898519 |
|---|---|
| Doing Business As | WILDWOOD ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TOM LEWELLYN Owner 320-237-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |