Organization
OPCO KEOSAUQUA, IA, LLC
Active
Other names
Keosauqua Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (PRESIDENT/CEO)
(773) 645-9246
Entity
Organization
Contact information
Practice address
819 COUNTRY LANE RD, KEOSAUQUA, IA 52565-1001
(319) 293-3761
Mailing address
2045 W GRAND AVE STE B-34572, CHICAGO, IL 60612-1576
(773) 645-9246
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
10/29/2024
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