Organization
IOWA N.H., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANGELL (OWNER)
(847) 583-1502
Entity
Organization
Contact information
Practice address
3440 MULBERRY AVE, MUSCATINE, IA 52761-2323
(563) 263-2194
Mailing address
5225 OLD ORCHARD RD, SUITE 23A, SKOKIE, IL 60077-4405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
701074
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701074
STATE LICENSE
IA
Enumeration date
12/05/2006
Last updated
08/22/2020
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