Five Star Quality Care Ia LLC
NPI #1750336806 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1750336806
- Entity Type
- Organization
- Organization Name
- Five Star Quality Care Ia LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FIVE STAR QUALITY CARE IA LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2006
- Last Updated
- May 29, 2008
Practice Location
- Address
- 34 NORTHCREST DR
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51503-1622
- Phone
- (712) 328-2333
Authorized Official
- Name
- BRUCE J MACKEY JR.
- Title
- CEO
- Phone
- (617) 796-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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