Legacy Active Living Retirement Community

NPI 1003019233 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003019233
Enumeration Date 06/06/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JIM JIM
Position EXECUTIVE DIRECTOR
Phone (319) 341-0911
Fax
Practice Location
1020 S SCOTT BLVD
IOWA CITY IA, 52240-2944, US
Phone (319) 341-0911
Fax
Business Location
1020 SOUTH SCOTT BLVD
IOWA CITY IA, 52240, US
Phone (319) 341-0911
Fax
Toxanomy
Taxonomy Code 310400000X
License State Iowa
License Number S0116
Remove 1003019233 NPI Number
 

According to our database, Legacy Active Living Retirement Community NPI is 1003019233, taxonomy code is 310400000X and license number is S0116, license state is located at Iowa. Legacy Active Living Retirement Community physically located at 1020 S Scott Blvd, Iowa City IA, 52240-2944. NPI Number 1033115704 has the healthcare provider type.

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1003019233 NPI number is provided on an as is basis without warranty of any kind. 1003019233 is maintained by the National Plan & Provider Enumeration System. The contents of Legacy Active Living Retirement Community are for informational purposes only.