Organization
DOMESTIC ASSISTED CARE, INC.
Active
Other names
Eagle Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHAPMAN RN (OWNER)
(563) 423-7365
Entity
Organization
Contact information
Practice address
6000 HARDING RD, ELGIN, IA 52141-9696
(563) 423-7365
(563) 423-7365
Mailing address
6000 HARDING RD, ELGIN, IA 52141-9696
(563) 423-7365
(563) 423-7365
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0099
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224881
—
IA
Enumeration date
05/21/2007
Last updated
08/22/2020
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