Organization
SUNNYBROOK OF FT. MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY C PURDY (MANAGER)
(319) 372-8611
Entity
Organization
Contact information
Practice address
5052 RIVER VALLEY ROAD, FT. MADISON, IA 52627
(319) 372-8611
Mailing address
5052 RIVER VALLEY ROAD, FT. MADISON, IA 52627
(319) 372-8611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0280
IA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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