| NPI | 1962404590 |
|---|---|
| Doing Business As | CARDINAL GROVE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROBERTS CFO 641-456-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0119) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-10-18 |