| NPI | 1811552227 |
|---|---|
| Doing Business As | GRANITE CITY RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | SAIGE AARON VORCE Owner 802-431-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |