Organization
WAUKEE SENIOR HOUSING II, LLC
Active
Other names
The Village at Legacy Pointe Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY GARTH EWING (PRESIDENT)
(641) 628-0073
Entity
Organization
Contact information
Practice address
1645 SE HOLIDAY CREST CIR, WAUKEE, IA 50263-8409
(515) 987-3625
(515) 987-5795
Mailing address
909 W 16TH ST, PELLA, IA 50219-7918
(641) 628-0073
(641) 620-8307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
251115
IA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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