Organization
FOX RUN ASSISTED LIVING OPERATING, LLC
Active
Other names
Fox Run Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JUDKINS (EXECUTIVE DIRECTOR)
(712) 256-2741
Entity
Organization
Contact information
Practice address
3121 MACINEERY DR, COUNCIL BLUFFS, IA 51501-8591
(712) 256-2741
(712) 256-7609
Mailing address
3121 MACINEERY DR, COUNCIL BLUFFS, IA 51501-8591
(712) 256-2741
(712) 256-7609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
SO193
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030538388
—
IA
Enumeration date
07/15/2008
Last updated
07/15/2008
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