A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X | |||
Non-emergency Medical Transport (VAN) |
343900000X | |||
Respite Care |
385H00000X |
| NPI Number | 1982845871 |
||||
| LBN Legal business name | CONVALESCENT PLACE | ||||
| Authorized official | JANETTE MOOBERRY - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/23/2009 | ||||
| Last updated | 03/23/2009 - About 17 years ago | ||||
| Identifiers |
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CONVALESCENT PLACE
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