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Organization
COUNTRY WINDS MANOR, INC.
Active
Organization
COUNTRY WINDS MANOR, INC.
Active
Other names
Patty Elwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK D OGDEN (ADMINISTRATOR)
(563) 547-2398
Entity
Organization
Contact information
Practice address
21668 80TH ST, CRESCO, IA 52136-8412
(563) 547-2398
(563) 547-4274
Mailing address
21668 80TH ST, CRESCO, IA 52136-8412
(563) 547-2398
(563) 547-4274
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
CCDI-478
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809079
—
IA
Enumeration date
10/10/2006
Last updated
10/06/2016
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