NPI | 1922543917 |
---|---|
Doing Business As | MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE |
Entity Type | Organization |
Authorized Contact | JOELLEN BLEAVINS President Of Management Agent 815-935-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2016-12-29 |
Last Update Date | 2016-12-29 |