NPI 1477634236

Prairie View Management, INC.

Organisation Custodial Care Facility Fayette, IA

Practice location

Address: 18569 Lane Rd, Fayette, IA 52142-9525
Phone: (563) 422-5606
Fax: (563) 422-5607

Authorised official

Name: Ann Bunn
Title: Administrator
Phone: (563) 422-5606

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence R-279 (IA)

Other Custodial Care Facility providers in Iowa →

Registry record

NPI: 1477634236
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 22 Aug 2020

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.