Premier Estates 508, LLC

NPI #1487010187 in Osage, Iowa

Provider Information

NPI Number
1487010187
Entity Type
Organization
Organization Name
Premier Estates 508, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 11, 2016
Last Updated
Jun 10, 2016

Practice Location

Address
830 S 5TH ST
City
Osage
State
Iowa
ZIP Code
50461-1919
Phone
(641) 732-5520

Authorized Official

Name
JAMIE CULP
Title
CONTROLLER
Phone
(941) 758-4745

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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