Edencrest at Kettlestone, LLC

NPI #1215822366 in Waukee, Iowa

Provider Information

NPI Number: 1215822366
Entity Type: Organization
Organization Name: Edencrest at Kettlestone, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jun 10, 2025
Last Updated: Jun 13, 2025

Practice Location

Address: 805 SE TALLGRASS LN
City: Waukee
State: Iowa
ZIP Code: 50263-6819
Phone: (515) 498-5380

Authorized Official

Name: SUSAN CUNNINGHAM, RN
Title: DIRECTOR OF WELLNESS
Phone: (515) 510-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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