Organization
KEYSTONE CEDARS
Active
Parent organization
KEYSTONE SENIOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE SENIOR
Authorized official
MRS. MARY JO PIPKIN (EXECUTIVE DIRECTOR)
(319) 393-9500
Entity
Organization
Contact information
Practice address
3965 AIRPORT DR, INDIANAPOLIS, IN 46254-5845
(317) 280-8455
(317) 875-4051
Mailing address
6325 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402-7203
(319) 393-9500
(319) 393-9501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0195
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0195
ALP CERTIFICATE
IA
Enumeration date
03/07/2008
Last updated
03/07/2008
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