Organization
ARHC SMMDSIA01 TRS, LLC
Active
Other names
Addington Place of Fort Madison
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WELLMAN (ADMINISTRATIVE ASSISTANT)
(319) 372-8611
Entity
Organization
Contact information
Practice address
5025 RIVER VALLEY RD, FORT MADISON, IA 52627-7605
(319) 372-8611
Mailing address
5025 RIVER VALLEY RD, FORT MADISON, IA 52627-7605
(319) 372-8611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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