# GBGB LC DBA BRIARWOOD CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063578359
- **Authorized official:** MRS. REGINA KAY BRAMER (ADMINISTRATOR)
- **Authorized official phone:** (563) 652-5354

## Contact information

- **Practice address:** 416 S CLARK ST, MAQUOKETA, IA 52060-3226
- **Practice address phone:** (563) 652-5354
- **Practice address fax:** (563) 652-4300
- **Mailing address:** 416 S CLARK ST, MAQUOKETA, IA 52060-3226
- **Mailing address phone:** (563) 652-5354
- **Mailing address fax:** (563) 652-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 490571 | IA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 06/17/2008