Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M
NPI #1164598868 in Bettendorf, Iowa
Provider Information
- NPI Number
- 1164598868
- Entity Type
- Organization
- Organization Name
- Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Apr 19, 2024
Practice Location
- Address
- 2500 GRANT ST
- City
- Bettendorf
- State
- Iowa
- ZIP Code
- 52722-5092
- Phone
- (563) 359-9171
Authorized Official
- Name
- TAMI TEGELER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (815) 499-7751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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