Organization
PURSUIT OF INDEPENDENCE
Active
Other names
Taylor Ridge Estates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY MARXEN (EXECUTIVE DIRECTOR)
(641) 333-2221
Entity
Organization
Contact information
Practice address
104 WEST OHIO, LENOX, IA 50851
(641) 333-2221
(641) 333-2732
Mailing address
104 WEST OHIO, LENOX, IA 50851
(641) 333-2221
(641) 333-2732
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
R-320
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233817
—
IA
05
—
0895680
—
IA
Enumeration date
06/08/2007
Last updated
05/10/2016
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