# COUNTY OF DUBUQUE

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

## Provider details

- **NPI number:** 1215934955
- **Authorized official:** MS. CATHRYN M. HEDLEY NURSING HOME ADMINIS (ADMINISTRATOR)
- **Authorized official phone:** (563) 583-1781

## Contact information

- **Practice address:** 2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
- **Practice address phone:** (563) 583-1781
- **Practice address fax:** (563) 583-1705
- **Mailing address:** 2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
- **Mailing address phone:** (563) 583-1781
- **Mailing address fax:** (563) 583-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | 310304 | IA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 310304 | IA | Yes |
| 314000000X | Skilled Nursing Facility | 310304 | IA | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | IMR-304 | IA | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 11/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803866 | — | IA |