Organization
THE ROSE OF WATERLOO, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A MCCLENAHAN J.D. (PRESIDENT OF GENERAL PARTNER)
(952) 447-2345
Entity
Organization
Contact information
Practice address
421 OAK AVE, WATERLOO, IA 50703-3401
(319) 232-6061
(319) 232-6571
Mailing address
16670 FRANKLIN TRL SE, PRIOR LAKE, MN 55372-2927
(952) 447-2345
(952) 447-2344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000700924
—
IA
Enumeration date
04/24/2013
Last updated
04/24/2013
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