Provider Demographics
NPI:1003468927
Name:ABILIT HOLDINGS (GARNETT PLACE) LLC
Entity Type:Organization
Organization Name:ABILIT HOLDINGS (GARNETT PLACE) LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZICKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-362-3630
Mailing Address - Street 1:208 35TH STREET DR SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-1357
Mailing Address - Country:US
Mailing Address - Phone:319-362-3630
Mailing Address - Fax:
Practice Address - Street 1:208 35TH STREET DR SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-1357
Practice Address - Country:US
Practice Address - Phone:319-362-3630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility