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Organization

GARVIN MOSER LLC

Active
Other names
Stoney Brook Village
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHRYN J MOSER (ADMINISTRATOR)
(319) 350-3327
Entity
Organization

Contact information

Practice address
705 S PINE ST, WEST UNION, IA 52175
(563) 422-7145
(563) 422-5714
Mailing address
705 S PINE ST, WEST UNION, IA 52175
(563) 422-7145
(563) 422-5714

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0238
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0749291
IA
Enumeration date
05/09/2007
Last updated
07/10/2008
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