Premier Estates 505, LLC

NPI #1073979779 in Hull, Iowa

Provider Information

NPI Number
1073979779
Entity Type
Organization
Organization Name
Premier Estates 505, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 11, 2016
Last Updated
Jun 10, 2016

Practice Location

Address
309 RAILROAD ST
City
Hull
State
Iowa
ZIP Code
51239-7413
Phone
(712) 439-2758

Authorized Official

Name
JAMIE CULP
Title
CONTROLLER
Phone
(941) 758-4745

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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