EASTERN STAR MASONIC HOME

Custodial Care Facility

Active Organization
NPI: 1619046596

Practice Address

715 W MAMIE EISENHOWER AVE
Boone, IA 50036

Phone: (515) 432-5274

Specialties

Specialty Code Primary License
Custodial Care Facility 311Z00000X Yes R-268 (IA)

Frequently Asked Questions

NPI 1619046596 is the National Provider Identifier for EASTERN STAR MASONIC HOME, a Custodial Care Facility provider located in Boone, IA. This NPI was enumerated on November 7, 2006.

Quick Facts

NPI
1619046596
Type
Organization
Enumerated
Nov 7, 2006
Last Updated
Jan 27, 2025

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