| NPI | 1871955864 |
|---|---|
| Doing Business As | MAIN STREET MANOR INDEPENDENT AND ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROBERTS CFO 641-456-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |