Organization
WOODLANDS CREEK ACTIVE RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK JOHNSON (EXECUTIVE DIRECTOR)
(515) 223-9755
Entity
Organization
Contact information
Practice address
12605 WOODLANDS PKWY, CLIVE, IA 50325-8701
(515) 223-9755
(515) 223-9875
Mailing address
12605 WOODLANDS PKWY, CLIVE, IA 50325-8701
(515) 223-9755
(515) 223-9875
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
177F00000X
IA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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