Provider Demographics
NPI:1851734016
Name:ARLINGTON PLACE OF GRUNDY CENTER II, INC.
Entity Type:Organization
Organization Name:ARLINGTON PLACE OF GRUNDY CENTER II, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHI
Authorized Official - Middle Name:LUELLA
Authorized Official - Last Name:BURNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-824-5674
Mailing Address - Street 1:95 D AVE
Mailing Address - Street 2:
Mailing Address - City:GRUNDY CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50638-1957
Mailing Address - Country:US
Mailing Address - Phone:319-824-5674
Mailing Address - Fax:319-824-5676
Practice Address - Street 1:95 D AVE
Practice Address - Street 2:
Practice Address - City:GRUNDY CENTER
Practice Address - State:IA
Practice Address - Zip Code:50638-1957
Practice Address - Country:US
Practice Address - Phone:319-824-5674
Practice Address - Fax:319-824-5676
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARLINGTON PLACE OF GRUNDY CENTER HOUSING COOPERATIVE ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0112310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility