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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
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