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COUNCIL BLUFFS SENIOR CARE, LLC
>> Skilled Nursing Facility >> Nursing & Custodial Care FacilitiesRegistrant 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
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
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
Tel: 712-322-9285 Fax: 712-322-7771
Registration Information:
NPI: 1629397211
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | 780151 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0800035 | IA | 05 |
