Organization
FIVE STAR QUALITY CARE-IA, INC.
Active
Parent organization
FIVE STAR QUALITY CARE-IA, INC.
Other names
Park Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-IA, INC.
Authorized official
BRUCE J. MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8214
Entity
Organization
Contact information
Practice address
114 E GREEN ST, GLENWOOD, IA 51534-1902
(712) 527-4841
(712) 527-3377
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881565
—
IA
Enumeration date
06/07/2006
Last updated
04/22/2016
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