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1013375310
LAN SILVER PINES LLC
CEDAR RAPIDS, IA
NPI
1013375310
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Entity Type
Organization
Authorized Contact
SHANDA LONDON
Authorized Official
206-623-6239
Organization Subpart ?
No
Primary Taxonomy
311Z00000X Custodial Care Facility
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
LAN SILVER PINES LLC
136 36TH AVE SW
CEDAR RAPIDS, IA 52404-4638
Phone number: 319-362-6868
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Mailing Address
LAN SILVER PINES LLC
4252 MANOR DR
MARSHALL, VA 20115-3701
Phone number: 540-364-0155
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