# PRAIRIE VIEW MANAGEMENT, INC.

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

## Provider details

- **NPI number:** 1114140258
- **Authorized official:** ANN BUNN (ADMINISTRATOR)
- **Authorized official phone:** (563) 422-5606

## Contact information

- **Practice address:** 18569 LANE RD, FAYETTE, IA 52142-9525
- **Practice address phone:** (563) 422-5606
- **Practice address fax:** (563) 422-5607
- **Mailing address:** 18569 LANE RD, FAYETTE, IA 52142-9525
- **Mailing address phone:** (563) 422-5606
- **Mailing address fax:** (563) 422-5607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | IA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020
