Organization
AMERITUS IOWA CEDARVALE WHISPERING WILLOWS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DICKSON (OWNER)
(507) 202-8880
Entity
Organization
Contact information
Practice address
601 DAWN AVE, FREDERICKSBURG, IA 50630-1033
(563) 237-5075
Mailing address
206 BROADWAY AVE S STE 460, ROCHESTER, MN 55904-7005
(507) 202-8880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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