Organization
OPCO GRUNDY CENTER, IA, LLC
Active
Other names
Grundy Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (MANAGER OF THE LLC)
(773) 645-9246
Entity
Organization
Contact information
Practice address
102 E J AVE, GRUNDY CENTER, IA 50638-2031
(319) 824-5436
Mailing address
2045 W GRAND AVE STE B-34572, CHICAGO, IL 60612-1576
(773) 645-9246
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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