Organization
HOMESTEAD OF ESTHERVILLE OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY FULKS CPA (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
2015 3RD AVE N, ESTHERVILLE, IA 51334-1740
(712) 362-0171
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
(785) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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