Organization
BRIDGE-DAVENPORT, LP
Active
Other names
Country Manor Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
KAREICIA MAHIEU (DIRECTOR)
(563) 391-1111
Entity
Organization
Contact information
Practice address
900 W 46TH ST, DAVENPORT, IA 52806-4362
(563) 391-1111
Mailing address
900 W 46TH ST, DAVENPORT, IA 52806-4362
(563) 391-1111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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