Organization
ELMWOOD PE, LLC
Active
Parent organization
IANE PROPERTIES I, LLC
Other names
Elmwood Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
IANE PROPERTIES I, LLC
Authorized official
MR. RICHARD T MASON (AUTHORIZED REPRESENTATIVE)
(888) 391-2373
Entity
Organization
Contact information
Practice address
190 15TH ST, ONAWA, IA 51040-1071
(712) 423-2510
(712) 423-1754
Mailing address
190 15TH ST, ONAWA, IA 51040-1071
(712) 423-2510
(712) 423-1754
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223552
—
IA
Enumeration date
02/21/2012
Last updated
02/21/2012
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