Organization
PREMIER ESTATES OF TOLEDO, LLC
Active
Other names
Premier Estates of Toledo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S BENCH (CEO)
(888) 391-2373
Entity
Organization
Contact information
Practice address
403 GRANDVIEW DR, TOLEDO, IA 52342-2105
(641) 484-5080
(641) 484-2951
Mailing address
403 GRANDVIEW DR, TOLEDO, IA 52342-2105
(641) 484-5080
(641) 484-2951
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
860817
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800109
—
IA
05
—
0807255
—
IA
Enumeration date
12/14/2006
Last updated
06/18/2014
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