NPI | 1952443954 |
---|---|
Doing Business As | COMMUNITY MEMORIAL ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | JEANNINE BUNGE Administrator 712-728-2428 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0150) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |