Genetivity, LLC the Lakeside Village

NPI #1467827816 in Panora, Iowa

Provider Information

NPI Number: 1467827816
Entity Type: Organization
Organization Name: Genetivity, LLC the Lakeside Village
Primary Specialty: Assisted Living Facility
Enumeration Date: Dec 10, 2015
Last Updated: Dec 10, 2015

Practice Location

Address: 2067 HIGHWAY 4
City: Panora
State: Iowa
ZIP Code: 50216-8601
Phone: (641) 755-3443

Authorized Official

Name: MRS. DEE ECKLEY, RN
Title: MANAGER
Phone: (641) 755-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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