| NPI | 1871128280 |
|---|---|
| Doing Business As | IMAGINE WELLNESS ASSISTED LIVING, LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES CALDWELL Manager 210-908-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |