| NPI | 1851560163 |
|---|---|
| Doing Business As | COLLEYVILLE PLACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DANYEL MCSHELL ANDERSON Tresurer 823-865-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |