# HIGLEY MANSION CARE CENTER LLC

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

## Provider details

- **NPI number:** 1699367615
- **Authorized official:** MRS. JUDY ARLENE TUCKER LNHA (ADMINISTRATOR)
- **Authorized official phone:** (319) 364-6710

## Contact information

- **Practice address:** 860 17TH STREET SE, CEDAR RAPIDS, IA 52403
- **Practice address phone:** (319) 364-6710
- **Practice address fax:** (319) 364-5918
- **Mailing address:** 860 17TH STREET SE, CEDAR RAPIDS, IA 52403
- **Mailing address phone:** (319) 364-6710
- **Mailing address fax:** (319) 364-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 02/10/2021