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Organization

PRAIRIE VIEW MANAGEMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN BUNN (ADMINISTRATOR)
(563) 422-5606
Entity
Organization

Contact information

Practice address
18569 LANE RD, FAYETTE, IA 52142-9525
(563) 422-5606
(563) 422-5607
Mailing address
18569 LANE RD, FAYETTE, IA 52142-9525
(563) 422-5606
(563) 422-5607

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
R-279
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0107847
IA
05
0893800
IA
05
1234484
IA
Enumeration date
10/18/2006
Last updated
08/22/2020
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