Organization
PREMIER ESTATES OF MUSCATINE, LLC
Active
Other names
Premier Estates of Muscatine
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S BENCH (CEO)
(888) 391-2373
Entity
Organization
Contact information
Practice address
3440 MULBERRY AVE, MUSCATINE, IA 52761-2323
(563) 263-2194
(563) 263-2253
Mailing address
3440 MULBERRY AVE, MUSCATINE, IA 52761-2323
(563) 263-2194
(563) 263-2253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800108
—
IA
05
—
0809913
—
IA
Enumeration date
11/10/2006
Last updated
06/18/2014
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