Organization
LEXINGTON SQUARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GRANT (ADMINISTRATOR)
(319) 524-5321
Entity
Organization
Contact information
Practice address
500 MESSENGER ROAD, KEOKUK, IA 52632-2117
(319) 524-5321
Mailing address
500 MESSENGER ROAD, KEOKUK, IA 52632-2117
(319) 524-5321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809624
—
IA
Enumeration date
09/29/2005
Last updated
12/14/2011
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