# OTTUMWA DEVELOPMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ottumwa Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144216995
- **Authorized official:** MS. HELEN J BROERMAN (ADMINISTRATOR)
- **Authorized official phone:** (641) 684-4594

## Contact information

- **Practice address:** 927 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
- **Practice address phone:** (641) 684-4594
- **Practice address fax:** (641) 684-9519
- **Mailing address:** 927 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
- **Mailing address phone:** (641) 684-4594
- **Mailing address fax:** (641) 684-9519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 900432 | IA | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803056 | — | IA |