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Organization

PIONEER PLACE ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRIS VETTER (ADMINISTRATOR)
(319) 629-4255
Entity
Organization

Contact information

Practice address
415 E PIONEER RD, LONE TREE, IA 52755-9709
(319) 629-4255
Mailing address
415 E PIONEER RD, LONE TREE, IA 52755-9709

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0061
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0197848
IA
Enumeration date
10/17/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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