Friendship Village INC.
Assisted Living Facility in Waterloo, IA. Organization (NPI-2).
NPI number1164089157
StatusActive
Last updated in NPPESMay 24, 2019
Details
- NPI
- 1164089157
- Entity type
- Organization (NPI-2)
- Legal business name
- Friendship Village INC.
- Organization subpart
- No
- Enumeration date
- May 24, 2019
- Last updated
- May 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Lakeview Lodge (Other Name)
Practice location
312 Southbrooke DrWaterloo, IA 50702-5804
Phone 319-291-3500
Mailing address
600 Park LnWaterloo, IA 50702-5200
Phone 319-291-8100 · Fax 319-291-8324
Authorized official
Sherry Turner
Vp Health Care Services
3192918100
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