Five Star Quality Care-Ia, Inc.

NPI #1558301606 in Glenwood, Iowa

Provider Information

NPI Number
1558301606
Entity Type
Organization
Organization Name
Five Star Quality Care-Ia, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE-IA, INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jun 7, 2006
Last Updated
Apr 22, 2016

Practice Location

Address
114 E GREEN ST
State
Iowa
ZIP Code
51534-1902
Phone
(712) 527-4841

Authorized Official

Name
BRUCE J. MACKEY JR.
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8214

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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