Organization
MASON CITY AREA NURSING HOME ASSOCIATION, INC
Active
Other names
Mason City Area Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID UNDERWOOD CPA (EXEC VP, CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
520 N PRICE ST, MASON CITY, IL 62664-9600
(217) 482-5022
(217) 482-3220
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-5477
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
10/18/2016
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