Organization
PRAIRIE HILLS AT CLINTON OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY R HILDEBRANDT MANAGING MEMBER (OWNER)
(641) 472-0518
Entity
Organization
Contact information
Practice address
1701 13TH AVE N, CLINTON, IA 52732-3341
(563) 243-6870
(563) 242-0404
Mailing address
500 N 3RD ST, SUITE 206, FAIRFIELD, IA 52556-2485
(641) 472-0518
(641) 472-0817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733121
—
IA
Enumeration date
05/11/2007
Last updated
08/22/2020
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