Homestead of Knoxville Operations LLC

NPI #1316161839 in Knoxville, Iowa

Provider Information

NPI Number: 1316161839
Entity Type: Organization
Organization Name: Homestead of Knoxville Operations LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Apr 13, 2007
Last Updated: Nov 10, 2011

Practice Location

Address: 908 SOUTH PARK LANE DRIVE
City: Knoxville
State: Iowa
ZIP Code: 50138
Phone: (641) 828-7878

Authorized Official

Name: MR. MIKE TRYON
Title: CHIEF FINANCIAL OFFICER
Phone: (785) 228-7913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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