Organization
HAWKEYE ESTATES LLC
Active
Other names
The Bridges at Ankeny
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG JOHNSON (PRESIDENT)
(515) 223-0173
Entity
Organization
Contact information
Practice address
3510 NW ABILENE ROAD, ANKENY, IA 50023
(515) 223-9064
Mailing address
6750 WESTOWN PKWY, SUITE 110, WEST DES MOINES, IA 50266-7715
(515) 223-0173
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16E745
—
IA
Enumeration date
04/04/2016
Last updated
02/13/2017
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