Organization
CHAR MAC ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LUZE (PROGRAM DIRECTOR)
(712) 944-4893
Entity
Organization
Contact information
Practice address
200 E CHAR MAC DR, LAWTON, IA 51030-8171
(712) 944-4893
(712) 944-4853
Mailing address
200 E CHAR MAC DR, LAWTON, IA 51030-8171
(712) 944-4893
(712) 944-4853
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0074
IA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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