Qhc Fort Dodge Villa LLC

NPI #1942293667 in Fort Dodge, Iowa

Provider Information

NPI Number
1942293667
Entity Type
Organization
Organization Name
Qhc Fort Dodge Villa LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 28, 2005
Last Updated
Dec 15, 2014

Practice Location

Address
2721 10TH AVE N
State
Iowa
ZIP Code
50501-2834
Phone
(515) 576-7525

Authorized Official

Name
JERRY WILLIAM VOYNA, CPA
Title
OWNER
Phone
(515) 276-3656

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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