| NPI | 1336474915 |
|---|---|
| Doing Business As | JEFFERSON PLACE |
| Former Legal Business Name | PELLA ELDER CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | ROB KRETZINGER CEO 515-271-6791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 631119) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 631119) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-01-26 |