| NPI | 1891137436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOEY SHIPLEY Proprietor 712-350-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA 122561) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |