| NPI | 1912507690 |
|---|---|
| Doing Business As | BOLVILLE |
| Entity Type | Organization |
| Authorized Contact | LARRY BOJE Manager 281-660-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |