Organization
THE ELLEN KENNEDY LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI ANNE WITTMEYER (DIRECTOR)
(563) 875-6323
Entity
Organization
Contact information
Practice address
1177 7TH ST SW, STE #1, DYERSVILLE, IA 52040-2513
(563) 875-6323
(563) 875-6268
Mailing address
1177 7TH ST SW, STE #1, DYERSVILLE, IA 52040-2513
(563) 875-6323
(563) 875-6268
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282384
—
IA
Enumeration date
05/08/2007
Last updated
08/22/2020
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