Organization
CARE INITIATIVES
Active
Other names
Avoca Lodge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization
Contact information
Practice address
612 E YORK RD, AVOCA, IA 51521-4504
(712) 343-2400
(712) 343-2501
Mailing address
1611 WESTLAKES PKWY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
(515) 224-0960
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0138
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277517
—
IA
Enumeration date
01/04/2007
Last updated
11/09/2022
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