Grand Haven LLC

NPI #1174716542 in Eldridge, Iowa

Provider Information

NPI Number: 1174716542
Entity Type: Organization
Organization Name: Grand Haven LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 201 EAST FRANKLIN ST
City: Eldridge
State: Iowa
ZIP Code: 52748
Phone: (563) 285-4900

Authorized Official

Name: MS. JONI FAHRENKROG
Title: MANAGER
Phone: (563) 285-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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