Organization
PPRC, LLC
Active
Other names
Garden View Place
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN MARVIN PHILLIPS (OWNER)
(319) 360-4863
Entity
Organization
Contact information
Practice address
800 DARBY DRIVE, MONONA, IA 52159
(563) 794-4628
Mailing address
800 DARBY DRIVE, MONONA, IA 52159
(563) 794-4628
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALPC S0215
IA
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALPC S0215
ALPC
IA
Enumeration date
06/14/2006
Last updated
08/25/2022
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