# BARTHELL O.E.S. HOME

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

## Provider details

- **NPI number:** 1386711125
- **Authorized official:** MR. KARL T. JACOBSEN R.N. (ADMINISTRATOR)
- **Authorized official phone:** (563) 382-8787

## Contact information

- **Practice address:** 911 RIDGEWOOD DRIVE, DECORAH, IA 52101-2354
- **Practice address phone:** (563) 382-8787
- **Practice address fax:** (563) 382-8788
- **Mailing address:** 911 RIDGEWOOD DR, DECORAH, IA 52101-2354
- **Mailing address phone:** (563) 382-8787
- **Mailing address fax:** (563) 382-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N-169 | IA | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020