NPI | 1780086082 |
---|---|
Doing Business As | CROWN SENIOR LIVING |
Entity Type | Organization |
Authorized Contact | BLAIR MOSS MINTON President 815-573-5105 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 140133281) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |