NPI | 1821262999 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE EDWARDS Administrator 870-236-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 080) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2008-04-18 |