NPI | 1851626410 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY R HILDEBRANDT Managing Member/Owner 641-472-0518 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |