NPI | 1972698561 |
---|---|
Doing Business As | GOLDPINE HOME |
Entity Type | Organization |
Authorized Contact | JUDY MARIE KILLIAN Owner 218-444-4346 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |