PROFFITT'S RESIDENTIAL
Adult Care Home
Centerville, Iowa
Provider NPI: 1750412672
Organization Information:Organization Name: PROFFITT'S RESIDENTIAL
Practice Location:
615 WEST WASHINGTON ST CENTERVILLE, IA 52544 US
Tel: 641-856-8344 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
615 WEST WASHINGTON ST CENTERVILLE, IA 52544 US
Tel: 641-856-8344 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | IA | R542 |