| NPI | 1851936124 |
|---|---|
| Doing Business As | CLEARWATER VILLAGE/HARBOR HOME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEW NOVOTNY CEO 785-789-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |