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Organization

SIGNATURE PROPERTIES OF SUTHERLAND LLC

Active
Other names
Sutherland Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE MEHLHOP (MANAGING MEMBER)
(515) 727-1768
Entity
Organization

Contact information

Practice address
506 E 4TH ST, SUTHERLAND, IA 51058
(712) 446-3857
(712) 446-2633
Mailing address
8101 BIRCHWOOD CT, SUITE A, PO BOX 917, JOHNSTON, IA 50131-0917
(515) 727-1770
(515) 727-1771

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
710198
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0805077
IA
Enumeration date
11/15/2005
Last updated
02/08/2012
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