Organization
PRAIRIE HILLS AT TIPTON OPERATIONS, LLC
Active
Parent organization
PRAIRIE HILLS AT TIPTON
Other names
Sunnybrook Management, LLC dba Prairie Hills Senior Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE HILLS AT TIPTON
Authorized official
MR. TIMOTHY R HILDEBRANDT MANAGING MEMBER (OWNER)
(641) 472-0518
Entity
Organization
Contact information
Practice address
219 S CEDAR ST, TIPTON, IA 52772-1764
(563) 886-1584
(563) 886-9101
Mailing address
1680 HIGHWAY 1, SUITE 2450, FAIRFIELD, IA 52556-9112
(641) 472-0518
(641) 472-0817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462192
—
IA
Enumeration date
05/11/2007
Last updated
10/09/2012
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