Provider Demographics
NPI:1275922783
Name:EMERY PLACE, LLC
Entity type:Organization
Organization Name:EMERY PLACE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-536-0045
Mailing Address - Street 1:901 SOUTH MENTZER ROAD
Mailing Address - Street 2:
Mailing Address - City:ROBINS
Mailing Address - State:IA
Mailing Address - Zip Code:52328-7312
Mailing Address - Country:US
Mailing Address - Phone:319-536-0045
Mailing Address - Fax:
Practice Address - Street 1:901 SOUTH MENTZER ROAD
Practice Address - Street 2:
Practice Address - City:ROBINS
Practice Address - State:IA
Practice Address - Zip Code:52328-7312
Practice Address - Country:US
Practice Address - Phone:319-536-0045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility