Organization
GLENWOOD PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHANIE JANE DESCHAMP (MANAGER)
(641) 752-8410
Entity
Organization
Contact information
Practice address
2907 S 6TH ST, MARSHALLTOWN, IA 50158-4687
(641) 752-8410
(641) 752-8515
Mailing address
2907 S 6TH ST, MARSHALLTOWN, IA 50158-4687
(641) 752-8410
(641) 752-8515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0086
IA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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