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COUNCIL BLUFFS SENIOR CARE, LLC

>> Skilled Nursing Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1629397211

Organizational Registrant:
Organization Name:  COUNCIL BLUFFS SENIOR CARE, LLC
Organization is not Subpart
Authorized Official:  MOLLY  MORAND  VICE PRESIDENT  404--90-98388

Location and contact information for practice:
1600 MCPHERSON AVE  COUNCIL BLUFFS, IA 51503-4858 US
Tel: 712-322-9285  Fax: 712-322-7771

Contact information for business:
1600 MCPHERSON AVE  COUNCIL BLUFFS, IA 51503-4858 US
Tel: 712-322-9285  Fax: 712-322-7771

Registration Information:
NPI: 1629397211
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IA780151

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0800035IA05




HEALTH CARE JOBS IA - Page 1



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