Individual provider · Type 1 NPI
Princess Kollie
Adult Care Home Facility · Marion, IA
NPI number
1790494136
Active
Practice location
2525 22nd Ave
Marion, IA 52302-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1790494136
Princess Kollie's National Provider Identifier is 1790494136, issued on Nov 15, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Marion, IA. The record was last updated on Nov 17, 2022.