Organization
EDENCREST AT KETTLESTONE, LLC
Active
Other names
Edencrest at Kettlestone, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CUNNINGHAM RN (DIRECTOR OF WELLNESS)
(515) 510-9022
Entity
Organization
Contact information
Practice address
805 SE TALLGRASS LN, WAUKEE, IA 50263-6819
(515) 498-5380
Mailing address
6900 WESTOWN PKWY, WEST DES MOINES, IA 50266-2520
(515) 243-3228
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/13/2025
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