NPI | 1891911152 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANINE CHARTIER Administrator 712-368-4893 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0222) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |