Petersen Commons Marycrest Housing

LBN: Signature Management
Petersen Commons Marycrest Housing is an health care organization with primary practice located at 1607 W 12Th St , Davenport IA 52804-4086. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Signature Management can be contacted via phone (563) 323-3888, or through Fier, Catherine Louise via phone (563) 322-2718.

Contact Information

Primary practice address
1607 W 12Th St Davenport IA 52804-4086
Phone: (563) 323-3888
Fax: (563) 324-1373
Website:
Map and Directions
Authorized official contact:
Name: Fier, Catherine Louise Registered Nurse (RN)
Phone: (563) 322-2718

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0214 Iowa

Profile Details

NPI number 1669532883
LBN Legal business name Signature Management
DBA Doing business as Petersen Commons Marycrest Housing
Authorized official Fier, Catherine Louise Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669532883 NPPES
Iowa MEDICAID 0463604

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