NPI | 1932700994 |
---|---|
Former Legal Business Name | WOODS OF CALEDONIA |
Entity Type | Organization |
Authorized Contact | PAMELA RICE Director Of Revenue 847-712-8901 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |