| NPI | 1972152619 |
|---|---|
| Former Legal Business Name | THE CLAIBORNE AT ADELAIDE |
| Entity Type | Organization |
| Authorized Contact | MONAH FOLSE Executive Director 662-268-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |