NPI | 1780088393 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON MATTHEW TJADEN CEO 563-452-3262 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0329) |
Enumeration Date | 2014-10-13 |
Last Update Date | 2014-10-13 |