Midwest Properties of Ida Grove L.l.c.

NPI #1508162264 in Ida Grove, Iowa

Provider Information

NPI Number: 1508162264
Entity Type: Organization
Organization Name: Midwest Properties of Ida Grove L.l.c.
Primary Specialty: Assisted Living Facility
Enumeration Date: Jan 28, 2011
Last Updated: Jan 28, 2011

Practice Location

Address: 800 BYRON GODBERSEN DR
City: Ida Grove
State: Iowa
ZIP Code: 51445
Phone: (712) 364-4128

Authorized Official

Name: JEANA KAY ROBINETTE
Title: VICE PRESIDENT OF MANAGEMENT
Phone: (218) 568-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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