# TABOR MANOR CARE CENTER INC

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

## Provider details

- **NPI number:** 1710085626
- **Authorized official:** MR. LEONARD B WORCESTER (ADMINISTRATOR)
- **Authorized official phone:** (712) 629-2645

## Contact information

- **Practice address:** 209 MAIN ST, TABOR, IA 51653
- **Practice address phone:** (712) 629-2645
- **Practice address fax:** (712) 629-6665
- **Mailing address:** PO BOX 180, 209 MAIN ST, TABOR, IA 51653
- **Mailing address phone:** (712) 629-2645
- **Mailing address fax:** (712) 629-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | Yes |
| 314000000X | Skilled Nursing Facility | 360577 | IA | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803957 | — | IA |