Ameritus Monona Opco LLC

NPI #1033998059 in Monona, Iowa

Provider Information

NPI Number: 1033998059
Entity Type: Organization
Organization Name: Ameritus Monona Opco LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 800 DARBY DR
City: Monona
State: Iowa
ZIP Code: 52159-8157
Phone: (563) 794-4628

Authorized Official

Name: JORDAN LANGE
Title: CORPORATE ADMINISTRATOR
Phone: (507) 251-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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