# HCR MANOR CARE

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

## Provider details

- **NPI number:** 1316011323
- **Authorized official:** MRS. ANGELA PETERSON (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (563) 324-3276

## Contact information

- **Practice address:** 815 E LOCUST ST, DAVENPORT, IA 52803-4345
- **Practice address phone:** (563) 324-3276
- **Practice address fax:** (563) 324-8844
- **Mailing address:** 815 E LOCUST ST, DAVENPORT, IA 52803-4345
- **Mailing address phone:** (563) 324-3276
- **Mailing address fax:** (563) 324-8844

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0807099 | — | IA |