Organization
AMERITUS MONONA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LANGE (CORPORATE ADMINISTRATOR)
(507) 251-6356
Entity
Organization
Contact information
Practice address
800 DARBY DR, MONONA, IA 52159-8157
(563) 794-4628
Mailing address
3520 E RIVER RD NE, ROCHESTER, MN 55906-5407
(507) 361-3490
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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