Lan Silver Pines LLC
NPI #1013375310 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1013375310
- Entity Type
- Organization
- Organization Name
- Lan Silver Pines LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Feb 2, 2016
- Last Updated
- Feb 2, 2016
Practice Location
- Address
- 136 36TH AVE SW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404-4638
- Phone
- (319) 362-6868
Authorized Official
- Name
- SHANDA LONDON
- Title
- AUTHORIZED OFFICIAL
- Phone
- (206) 623-6239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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