Five Star Quality Care-ia, Llc

NPI 1881640993 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1881640993
Enumeration Date 05/26/2006
Last Updated 05/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE J BRUCE
Position CEO
Phone (712) 622-8144
Fax (712) 622-8158
Practice Location
20937 KANE AVE
PACIFIC JUNCTION IA, 51561-4242, US
Phone (712) 622-8144
Fax (712) 622-8158
Business Location
400 CENTRE ST
NEWTON MA, 02458-2094, US
Phone (617) 796-8387
Fax (617) 796-8375
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Five Star Quality Care-ia, Llc NPI is 1881640993, taxonomy code is 315P00000X Five Star Quality Care-ia, Llc physically located at 20937 Kane Ave, Pacific Junction IA, 51561-4242. NPI Number 1033115704 has the healthcare provider type.

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1881640993 NPI number is provided on an as is basis without warranty of any kind. 1881640993 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Quality Care-ia, Llc are for informational purposes only.