NPI 1033998059

Ameritus Monona Opco LLC

Organisation Assisted Living Facility Monona, IA

Practice location

Address: 800 Darby Dr, Monona, IA 52159-8157
Phone: (563) 794-4628
Mailing address: 3520 E River Rd NE, Rochester, MN 55906-5407

Authorised official

Name: Jordan Lange
Title: Corporate Administrator
Phone: (507) 251-6356

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1033998059
Entity type: Organization
NPI issued: 28 Sep 2023
Record last updated: 28 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.