Healthcare Provider Details
I. General information
NPI: 1467382655
Provider Name (Legal Business Name): BOYSON ROAD DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
765 BOYSON RD NE
CEDAR RAPIDS IA
52402-7668
US
IV. Provider business mailing address
765 BOYSON RD NE
CEDAR RAPIDS IA
52402-7668
US
V. Phone/Fax
- Phone: 319-775-4525
- Fax:
- Phone: 319-775-4525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MORGAN
BRUNSCHEEN
Title or Position: CEO
Credential:
Phone: 319-423-7741