Organization
ANAMOSA AID OPCO LLC
Active
Other names
Pinicon Place
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TARSNEY (AUTHORIZED OFFICER)
(312) 725-7041
Entity
Organization
Contact information
Practice address
1615 BRECA RIDGE DR, ANAMOSA, IA 52205-2118
(319) 462-3070
Mailing address
330 N WABASH AVE, SUITE 3700, CHICAGO, IL 60611-3586
(312) 725-7041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
530956
IA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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