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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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