| NPI | 1902305840 |
|---|---|
| Doing Business As | ASHLEY MANOR EVANS I |
| Entity Type | Organization |
| Authorized Contact | MARK ELLISON Authorized Person 120-891-4313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-03-01 |