Organization
AMBER RIDGE ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R JAGER (PRESIDENT)
(563) 322-3501
Entity
Organization
Contact information
Practice address
107 E 2ND ST, DE WITT, IA 52742-2140
(563) 659-1678
Mailing address
107 E 2ND ST, DE WITT, IA 52742-2140
(563) 322-3501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0089
IA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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