Elmwood Pe, LLC

NPI #1144593252 in Onawa, Iowa

Provider Information

NPI Number: 1144593252
Entity Type: Organization
Organization Name: Elmwood Pe, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: IANE PROPERTIES I, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 21, 2012
Last Updated: Feb 21, 2012

Practice Location

Address: 190 15TH ST
City: Onawa
State: Iowa
ZIP Code: 51040-1071
Phone: (712) 423-2510

Authorized Official

Name: MR. RICHARD T MASON
Title: AUTHORIZED REPRESENTATIVE
Phone: (888) 391-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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