| NPI | 1871061655 |
|---|---|
| Doing Business As | THE LODGE AT SUMMERS POINTE |
| Entity Type | Organization |
| Authorized Contact | JOELLEN BLEAVINS President Of Management Agent 815-935-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-02-14 |