Eastern Star Masonic Home

NPI #1619046596 in Boone, Iowa

Provider Information

NPI Number
1619046596
Entity Type
Organization
Organization Name
Eastern Star Masonic Home
Primary Specialty
Custodial Care Facility
Enumeration Date
Nov 7, 2006
Last Updated
Jan 27, 2025

Practice Location

Address
715 W MAMIE EISENHOWER AVE
City
Boone
State
Iowa
ZIP Code
50036-3930
Phone
(515) 432-5274

Authorized Official

Name
SCOTT DYLAN ARMSTRONG
Title
DIRECTOR OF COMPLIANCE
Phone
(515) 709-4398

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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