Premier Estates 504, LLC
NPI #1063878767 in Grundy Center, Iowa
Provider Information
- NPI Number
- 1063878767
- Entity Type
- Organization
- Organization Name
- Premier Estates 504, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 11, 2016
- Last Updated
- Jun 10, 2016
Practice Location
- Address
- 102 E J AVE
- City
- Grundy Center
- State
- Iowa
- ZIP Code
- 50638-2031
- Phone
- (319) 824-5436
Authorized Official
- Name
- JAMIE CULP
- Title
- CONTROLLER
- Phone
- (941) 758-4745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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