Organization
DAVE'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLUME LNHA, ALMC, LBSW, BS (ADMINISTRATOR)
(319) 524-1800
Entity
Organization
Contact information
Practice address
3140 PLANK RD, KEOKUK, IA 52632-2312
(319) 524-1800
Mailing address
3140 PLANK RD, KEOKUK, IA 52632-2312
(319) 524-1629
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
IA
Other
Enumeration date
03/02/2011
Last updated
09/15/2023
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