Organization
LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Active
Other names
Legacy Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HUNTER (EXECUTIVE DIRECTOR)
(319) 341-0911
Entity
Organization
Contact information
Practice address
15 SILVERCREST PL, IOWA CITY, IA 52240-2951
(319) 338-4404
Mailing address
1020 S SCOTT BLVD, IOWA CITY, IA 52240-2944
(319) 341-0911
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
S0163
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280875
—
IA
Enumeration date
05/22/2007
Last updated
08/22/2020
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