Madison Square Assisted Living

NPI #1245415470 in Winterset, Iowa

Provider Information

NPI Number
1245415470
Entity Type
Organization
Organization Name
Madison Square Assisted Living
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jan 7, 2008
Last Updated
Jan 7, 2008

Practice Location

Address
209 W JEFFERSON ST
State
Iowa
ZIP Code
50273-1676
Phone
(515) 462-5087

Authorized Official

Name
MR. STANLEY BIRCHEM
Title
PRESIDENT/OWNER
Phone
(515) 462-5087

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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