Country Lane Manor LLC
NPI #1073347902 in Keosauqua, Iowa
Provider Information
- NPI Number
- 1073347902
- Entity Type
- Organization
- Organization Name
- Country Lane Manor LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 2, 2024
- Last Updated
- Sep 2, 2024
Practice Location
Authorized Official
- Name
- JOSEPH GLATZER
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (848) 757-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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