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Organization
COUNTY OF DUBUQUE
Active
Organization
COUNTY OF DUBUQUE
Active
Other names
Sunnycrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHRYN M. HEDLEY NURSING HOME ADMINIS (ADMINISTRATOR)
(563) 583-1781
Entity
Organization
Contact information
Practice address
2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
(563) 583-1781
(563) 583-1705
Mailing address
2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
(563) 583-1781
(563) 583-1705
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
310304
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
310304
IA
314000000X
Skilled Nursing Facility
310304
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
IMR-304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803866
—
IA
Enumeration date
07/07/2005
Last updated
11/01/2011
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