NPI | 1619962214 |
---|---|
Doing Business As | MCCREEDY HOME |
Entity Type | Organization |
Authorized Contact | JACOB GREEN Ltc Administrator 319-863-3958 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 920052H) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2020-01-08 |