# HANSEN HOUSE MEMORY CARE RESIDENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174068969
- **Authorized official:** WILLIAM MCCARTY (OWNER)
- **Authorized official phone:** (402) 709-2062

## Contact information

- **Practice address:** 2331 NASH BLVD, COUNCIL BLUFFS, IA 51501-0914
- **Practice address phone:** (712) 256-4525
- **Practice address fax:** (712) 256-4526
- **Mailing address:** 2331 NASH BLVD, COUNCIL BLUFFS, IA 51501-0914
- **Mailing address phone:** (712) 256-4525
- **Mailing address fax:** (712) 256-4526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | S0330 | IA | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017