Premier Estates 509, LLC
NPI #1184080889 in Shenandoah, Iowa
Provider Information
- NPI Number
- 1184080889
- Entity Type
- Organization
- Organization Name
- Premier Estates 509, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 11, 2016
- Last Updated
- May 13, 2016
Practice Location
- Address
- 1200 W NISHNA RD
- City
- Shenandoah
- State
- Iowa
- ZIP Code
- 51601-2116
- Phone
- (712) 246-4515
Authorized Official
- Name
- JAMIE CULP
- Title
- CONTROLLER
- Phone
- (941) 758-4745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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