NPI | 1821123795 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE DIANE NEWTON Vice President 712-642-2264 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0001) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-11-26 |