Organization
BCP MEDIAPOLIS, LLC
Active
Other names
Azria Health Prairie Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
AARON N KAMINER (MANAGER)
(908) 399-4918
Entity
Organization
Contact information
Practice address
608 PRAIRIE ST, MEDIAPOLIS, IA 52637-7843
(319) 394-3991
Mailing address
702 S HIGHWAY 6, GRETNA, NE 68028-7970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
12/05/2019
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