Organization
SUNSET PARK PLACE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BELL (MANAGER)
(563) 583-7939
Entity
Organization
Contact information
Practice address
3730 PENNSYLVANIA AVE, DUBUQUE, IA 52002-3701
(563) 583-7939
(563) 583-2982
Mailing address
3730 PENNSYLVANIA AVE, DUBUQUE, IA 52002-3701
(563) 583-7939
(563) 583-2982
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0127
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478701
—
IA
Enumeration date
05/23/2007
Last updated
08/22/2020
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