Keokuk Area Group Home

NPI #1790842615 in Keokuk, Iowa

Provider Information

NPI Number
1790842615
Entity Type
Organization
Organization Name
Keokuk Area Group Home
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Jan 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
317 HIGH ST
City
Keokuk
State
Iowa
ZIP Code
52632-5939
Phone
(319) 524-1871

Authorized Official

Name
THOMAS J JENKINS
Title
QMRP ADMINISTRATOR
Phone
(319) 524-1871

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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