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Organization

PRAIRIE VIEW MANAGEMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN BUNN (ADMINISTRATOR)
(563) 422-5606
Entity
Organization

Contact information

Practice address
18569 LANE ROAD, FAYETTE, IA 52142-9525
(563) 422-5606
(563) 422-5607
Mailing address
18569 LANE ROAD, FAYETTE, IA 52142-9525
(563) 422-5606
(563) 422-5607

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0748020
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0748020
IA
Enumeration date
05/09/2007
Last updated
08/22/2020
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