Organization
ARHC PSINDIA01 TRS
Active
Other names
Prairie Hills at Independence
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT INGERSOLL (MANAGER)
(319) 334-2000
Entity
Organization
Contact information
Practice address
505 ENTERPRISE DR, INDEPENDENCE, IA 50644-9603
(319) 334-2000
(319) 334-3015
Mailing address
505 ENTERPRISE DR, INDEPENDENCE, IA 50644-9603
(319) 334-2000
(319) 334-3015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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