Organization
SIMPSON MEMORIAL HOME, INC
Active
Other names
Leland Smith Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY WICKS (ADMINISTRATOR)
(319) 627-4775
Entity
Organization
Contact information
Practice address
309 OVESEN DR, WILTON, IA 52778
(319) 627-4775
(319) 627-4738
Mailing address
309 OVESEN DR, WILTON, IA 52778
(319) 627-4775
(319) 627-4738
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0187
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414979
—
IA
Enumeration date
03/01/2007
Last updated
08/22/2020
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