# COUNTRY WINDS MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patty Elwood Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104914639
- **Authorized official:** MR. PATRICK D OGDEN (ADMINISTRATOR)
- **Authorized official phone:** (563) 547-2398

## Contact information

- **Practice address:** 21668 80TH ST, CRESCO, IA 52136-8412
- **Practice address phone:** (563) 547-2398
- **Practice address fax:** (563) 547-4274
- **Mailing address:** 21668 80TH ST, CRESCO, IA 52136-8412
- **Mailing address phone:** (563) 547-2398
- **Mailing address fax:** (563) 547-4274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | CCDI-478 | IA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0809079 | — | IA |