Premier Estates 506, LLC

NPI #1083070783 in Iowa City, Iowa

Provider Information

NPI Number
1083070783
Entity Type
Organization
Organization Name
Premier Estates 506, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 11, 2016
Last Updated
Jan 9, 2018

Practice Location

Address
3661 ROCHESTER AVE
State
Iowa
ZIP Code
52245-9271
Phone
(319) 351-7460

Authorized Official

Name
CASSIDY BANCROFT
Title
CONTROLLER
Phone
(941) 758-4745

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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