Organization
ATLANTIS PENN PLACE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JOHNSON (MANAGING DIRECTOR)
(949) 291-7552
Entity
Organization
Contact information
Practice address
1 PENNSYLVANIA PL, OTTUMWA, IA 52501-2171
(641) 684-4000
Mailing address
5925 DRY CREEK LN NE, CEDAR RAPIDS, IA 52402-1257
(319) 364-2038
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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