Organization
JACKSON IA OPCO LLC
Active
Other names
Jackson Ridge Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONAH SVARC (MANAGING MEMBER)
(917) 474-4967
Entity
Organization
Contact information
Practice address
1015 WESLEY DR, MAQUOKETA, IA 52060-2637
(563) 652-4967
Mailing address
1015 WESLEY DR, MAQUOKETA, IA 52060-2637
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
06/28/2023
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