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Organization

PREMIER ESTATES 507, LLC

Active
Other names
Lenox Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE CULP (CONTROLLER)
(941) 758-4745
Entity
Organization

Contact information

Practice address
111 E VAN BUREN ST, LENOX, IA 50851-1142
(641) 333-2226
(641) 333-4174
Mailing address
5115 E STATE ROAD 64, BRADENTON, FL 34208-5509
(941) 758-4745
(941) 751-2135

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
870126
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0800173
IA
Enumeration date
01/11/2016
Last updated
05/13/2016
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