Prairie Hills at Ottumwa Operations LLC

NPI #1497946628 in Ottumwa, Iowa

Provider Information

NPI Number: 1497946628
Entity Type: Organization
Organization Name: Prairie Hills at Ottumwa Operations LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 173 E ROCHESTER ST
City: Ottumwa
State: Iowa
ZIP Code: 52501
Phone: (641) 684-1871

Authorized Official

Name: MR. TIMOTHY R HILDEBRANDT
Title: MANAGING MEMBER/OWNER
Phone: (641) 472-0518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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