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Organization
LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Active
Organization
LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Active
Other names
Legacy Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HUNTER (EXECUTIVE DIRECTOR)
(319) 341-0911
Entity
Organization
Contact information
Practice address
15 SILVERCREST PL, IOWA CITY, IA 52240-2951
(319) 338-4404
Mailing address
1020 S SCOTT BLVD, IOWA CITY, IA 52240-2944
(319) 341-0911
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
S0163
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280875
—
IA
Enumeration date
05/22/2007
Last updated
08/22/2020
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