Opco Jefferson, Ia, LLC

NPI #1346872413 in Jefferson, Iowa

Provider Information

NPI Number
1346872413
Entity Type
Organization
Organization Name
Opco Jefferson, Ia, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 6, 2020
Last Updated
Oct 29, 2024

Practice Location

Address
100 RAM DR
State
Iowa
ZIP Code
50129-2728
Phone
(515) 386-4107

Authorized Official

Name
ISAAC DOLE
Title
PRESIDENT OF MANAGER
Phone
(773) 645-9246

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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