| NPI Details | |
|---|---|
| NPI | 1114972577 |
| Enumeration Date | 05/24/2006 |
| Last Updated | 04/22/2016 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | BRUCE J. BRUCE |
| Position | PRESIDENT & CHIEF EXECUTIVE OFFICER |
| Phone | (515) 262-9303 |
| Fax | (515) 262-2506 |
| Practice Location | |
|---|---|
| 2401 EAST 8TH STREET DES MOINES IA, 50316-1717, US |
|
| Phone | (515) 262-9303 |
| Fax | (515) 262-2506 |
| Business Location | |
|---|---|
| 2401 EAST 8TH STREET DES MOINES IA, 50316-1717, US |
|
| Phone | (515) 262-9303 |
| Fax | (515) 262-2506 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Iowa |
| License Number | 770799 |
| Remove 1114972577 NPI Number | |
According to our database, Five Star Quality Care-ia Inc NPI is 1114972577, taxonomy code is 314000000X and license number is 770799, license state is located at Iowa. Five Star Quality Care-ia Inc physically located at 2401 East 8th Street, Des Moines IA, 50316-1717. NPI Number 1033115704 has the healthcare provider type.
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1114972577 NPI number is provided on an as is basis without warranty of any kind. 1114972577 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Quality Care-ia Inc are for informational purposes only.
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