Organization
COBBLESTONE COURT ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BOECKMAN (OWNER)
(319) 269-1816
Entity
Organization
Contact information
Practice address
3187 140TH ST, SUMNER, IA 50674
(319) 269-1816
Mailing address
3187 140TH ST, SUMNER, IA 50674
(319) 269-1816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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