Organization
SIGNATURE MANAGEMENT
Active
Other names
Petersen Commons Marycrest Housing
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LOUISE FIER R.N. (DIRECTOR OF ASSISTED LIVING)
(563) 322-2718
Entity
Organization
Contact information
Practice address
1607 W 12TH ST, DAVENPORT, IA 52804-4086
(563) 323-3888
(563) 324-1373
Mailing address
332 N HARRISON ST, SUITE 100, DAVENPORT, IA 52801-1309
(563) 322-2718
(563) 322-2721
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0214
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463604
—
IA
Enumeration date
12/11/2006
Last updated
08/22/2020
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