Organization
FRIENDSHIP VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E GATES (CFO)
(319) 291-8100
Entity
Organization
Contact information
Practice address
600 PARK LN, WATERLOO, IA 50702-5200
(319) 291-8100
(319) 291-8324
Mailing address
600 PARK LN, WATERLOO, IA 50702-5200
(319) 291-8100
(319) 291-8324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N429
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801332
—
IA
Enumeration date
02/21/2008
Last updated
02/26/2008
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