| NPI | 1942023643 |
|---|---|
| Former Legal Business Name | STE ANNE ADULT FAMILY CARE HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | GREATZ YACINTHE M.W. SAINT PAUL Provider 239-888-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-02 |