# ROSE HAVEN NURSING HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rose Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578559142
- **Authorized official:** MR. DAVID OWEN YEARIAN (ADMINISTRATOR)
- **Authorized official phone:** (319) 642-5533

## Contact information

- **Practice address:** 1500 FRANKLYN AVE, MARENGO, IA 52301-1312
- **Practice address phone:** (319) 642-5533
- **Practice address fax:** (319) 642-3822
- **Mailing address:** 1500 FRANKLYN AVE, MARENGO, IA 52301-1312
- **Mailing address phone:** (319) 642-5533
- **Mailing address fax:** (319) 642-3822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N-183 | IA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803502 | — | IA |