| NPI | 1104049717 |
|---|---|
| Doing Business As | PENNINGTON SQUARE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DONALD L CHENSVOLD Manager 319-362-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0110) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |