Atlantis Penn Place Opco LLC
Organization Active NPI Assisted Living Facility · Ottumwa, IA
NPI 1659830685 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1659830685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ATLANTIS PENN PLACE OPCO LLC
- Practice address
- 1 Pennsylvania PL
Ottumwa, IA 52501-2171 - Phone
- (641) 684-4000
- NPI assigned
- Mar 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Joshua Johnson
- Title
- Managing Director
- Phone
- (949) 291-7552
National Provider Directory
Locations
5925 Dry Creek Ln NE
Cedar Rapids, IA 52402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1 Pennsylvania PL
Ottumwa, IA 52501-2171
Mailing address
5925 Dry Creek LN NE
Cedar Rapids, IA 52402-1257
Phone (319) 364-2038
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All providers in Ottumwa, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.