| NPI | 1912474800 |
|---|---|
| Doing Business As | ELLA MANOR ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DAVID LEMCKE Member 678-808-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |