Organization
PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY R HILDEBRANDT (MANAGING MEMBER/OWNER)
(641) 472-0518
Entity
Organization
Contact information
Practice address
173 E ROCHESTER ST, OTTUMWA, IA 52501
(641) 684-1871
(641) 684-5827
Mailing address
500 N 3RD ST, FAIRFIELD, IA 52556-2485
(641) 472-0518
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0259
IA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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