Organization
JP SENIOR HEALTHCARE LLC
Active
Other names
Pioneer Valley Living and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P DEWITT (CFO)
(712) 574-7312
Entity
Organization
Contact information
Practice address
400 SERGEANT SQUARE DRIVE, SERGEANT BLUFF, IA 51054
(712) 574-7312
Mailing address
PO BOX 2246, SIOUX CITY, IA 51104-0246
(712) 574-7312
(712) 277-8313
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800187
—
IA
Enumeration date
08/12/2015
Last updated
09/21/2016
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